Vernon Clinic PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VERNON CLINIC PLLC

Practice address

1015 Hillcrest Dr
Vernon, TX 76384-3100

Phone

(940) 552-2530

Fax

(940) 552-2539

NPI assigned

Aug 8, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Adanna Juliet Amechi-Obigwe, M.D.NPI 1265545891

Title

Owner/Member

Phone

(940) 552-2530

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12096/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adanna Juliet Amechi Obigwe, MD

  • Family Medicine Physician
  • Vernon, TX
  • NPI 1265545891
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1992052039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 HILLCREST DR STE A",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763843165",
            "telephone_number": "940-552-2530",
            "fax_number": "940-552-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 HILLCREST DR",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763843100",
            "telephone_number": "940-552-2530",
            "fax_number": "940-552-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "AMECHI-OBIGWE",
        "authorized_official_first_name": "ADANNA",
        "authorized_official_middle_name": "JULIET",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "940-552-2530",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Lee Tuck, MSSW, LCSW
• United Supermarkets LLC
• Jennifer Varela
• Vani Velamati, M.D
• Vernon Care Center, L.P.
• Vernon Healthcare Providers
• Vernon Healthcare Providers, LLC
• Vernon Home Health Care Agency, LLC
• Vernon Indpendent School District
• Vernon Smiles, PC

• Family Medicine Physician in Vernon, TX
• Providers in Vernon, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.