Organization Active NPI

Medi Care Clinics PLLC

  • Family Nurse Practitioner
  • Denton, TX
National Provider Identifier
1992165393
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
728078 Issued in TX
Legal business name
MEDI CARE CLINICS PLLC
Practice address
2601 Scripture St
Suite 102
Denton, TX 76201-4321
Phone
(940) 442-6455
NPI assigned
Feb 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Philip Blaine Hamby, MSNNPI 1831438217
Title
Family Nurse Practitioner
Phone
(940) 442-6455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 728078 TX Primary

Addresses

Primary practice location

2601 Scripture St
Suite 102
Denton, TX 76201-4321

Mailing address

9557 N Beach St
Suite 121
Fort Worth, TX 76244-6395
Phone (940) 741-5050

Other practice location 1

9557 N Beach St Ste 121
Fort Worth, TX 76244-6395
Phone (940) 741-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160329000974 TX Part B Supplier - Clinic/Group Practice 1557668050 Receives reassigned benefits from 7 practitioners
Practice locations: Denton, TX; Fort Worth, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2148001Medi Care Clinics PLLC9557 N Beach Street Ste 121-C, Fort Worth, TX 76244Certificate of waiverMay 1, 2028
45D2148003Medi Care Clinics PLLC2601 Scripture Street Ste 102-C, Denton, TX 76201Certificate of waiverMay 1, 2028

National Provider Directory

National Provider Directory

Locations

9557 N Beach St
Ste 121
Fort Worth, TX 76244
Phone (817) 741-5050

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992165393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9557 N BEACH ST",
            "address_2": "SUITE 121",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446395",
            "telephone_number": "940-741-5050",
            "fax_number": "940-741-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 SCRIPTURE ST",
            "address_2": "SUITE 102",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762014321",
            "telephone_number": "940-442-6455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9557 N Beach St Ste 121",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762446395",
            "country_code": "US",
            "telephone_number": "940-741-5050",
            "fax_number": "940-741-5059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDI CARE CLINICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HAMBY",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "BLAINE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "940-442-6455",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "728078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.