Active NPI
FMC Palliative Care, LLC
- Hospice and Palliative Medicine (Family Medicine) Physician
- Amarillo, TX
National Provider Identifier
1952913352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- Legal business name
- FMC PALLIATIVE CARE, LLC
- Practice address
- 2501 Lakeview Dr
Amarillo, TX 79109-1531 - Phone
- (806) 355-8900
- Fax
- (806) 355-2453
- NPI assigned
- Aug 18, 2020
- Organization subpart
- Yes
- Parent organization
- FMC - LUBBOCK LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steve Smith
- Title
- Ceo
- Phone
- (806) 355-8900
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Acute Care Nurse Practitioner | 363LA2100X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
2501 Lakeview Dr
Amarillo, TX 79109-1531
Mailing address
2501 Lakeview Dr
Amarillo, TX 79109-1531
Phone (806) 355-8900
Other practice location 1
5211 SW 9th Ave Ste 100
Amarillo, TX 79106-4197
Phone (806) 356-0026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201217000441 | TX | Part B Supplier - Clinic/Group Practice | 6406268358 |
Receives reassigned benefits from 11 practitioners Practice locations: Amarillo, TX |
National Provider Directory
National Provider Directory- Part of
- FMC - Lubbock LLC
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
5211 W 9th Ave
Amarillo, TX 79106
Phone (806) 350-8277
400 SW 14th Ave
Ste 100
Amarillo, TX 79101
Phone (806) 337-4555
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Community Based Hospice Care Agency
- Amarillo, TX
- NPI 1467447854
Practitioners & affiliated clinicians
Practitioners 12
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Amarillo, TX
- NPI 1215629902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701907200000",
"number": "1952913352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 LAKEVIEW DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791091531",
"telephone_number": "806-355-8900",
"fax_number": "806-355-2453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 LAKEVIEW DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791091531",
"telephone_number": "806-355-8900",
"fax_number": "806-355-2453"
}
],
"practiceLocations": [
{
"address_1": "5211 SW 9th Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Amarillo",
"state": "TX",
"postal_code": "791064197",
"country_code": "US",
"telephone_number": "806-356-0026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FMC PALLIATIVE CARE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FMC - LUBBOCK LLC",
"enumeration_date": "2020-08-18",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "STEVE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "806-355-8900"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.