FMC MEDICAL FOUNDATION, INC
NPI 1003825852
Pediatrics in Amarillo, TX

Active since August 07, 2006CLIA Certified · 2 labs
1500 S COULTER ST STE 1, AMARILLO, TX 79106(806) 354-0404(806) 354-2810 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2022, Oct 20, 2021, Mar 9, 2020 (3 updates tracked since 2020).

About Fmc Medical Foundation, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FMC MEDICAL FOUNDATION, INC (NPI 1003825852), doing business as Panhandle Pediatric Group P A, is a healthcare organization registered as a pediatrics in Amarillo, Texas and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists Stefanie Feemster, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1003825852
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameFMC MEDICAL FOUNDATION, INC
Location Address1500 S COULTER ST STE 1Amarillo, TX 79106-1787
Mailing Address1500 S Coulter St Ste 1Amarillo, TX 79106-1787 · (806) 354-0404 · Fax (806) 354-2810
Fax(806) 354-2810
Organization SubpartNo
Authorized OfficialStefanie FeemsterCredentialing Specialist · (806) 358-9400
Enumeration DateAugust 7, 2006
Last NPPES UpdateDecember 19, 20223 updates tracked since enumeration
NPPES CertifiedDecember 19, 2022
NPI 1003825852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1500 S COULTER ST STE 1, Amarillo, TX 79106

Other Names 1

Former Legal Business NamePanhandle Pediatric Group P A

Other Identifiers 5

Medicaid081138203TX
Medicaid134071303TX
Medicaid081138202TX
Medicaid081138201 TERM 12/16TX
Other0077BMTX · Bcbs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2138727

Fmc Medical Foundation Dba Bsa Carexpress Downtown · Amarillo, TX
Active · expires Oct 23, 2027
CLIA Number45D2138727
Laboratory TypePhysician Office
Certificate Effective DateOctober 24, 2025
Certificate Expiration DateOctober 23, 2027
Laboratory DirectorDr. Eric Cox
Laboratory Phone(806) 358-9400
Laboratory LocationFmc Medical Foundation Dba Bsa Carexpress Downtown400 SW 14th Ave, Suite 100, Amarillo, TX 79101
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D0894855

Panhandle Pediatrics · Amarillo, TX
Active · expires Nov 22, 2026
CLIA Number45D0894855
Laboratory TypePhysician Office
Certificate Effective DateNovember 23, 2024
Certificate Expiration DateNovember 22, 2026
Laboratory DirectorJohn M. Young, MD
Laboratory Phone(806) 354-0404
Laboratory LocationPanhandle Pediatrics1500 Coulter Suite 1, Amarillo, TX 79106
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1500 S COULTER ST STE 1
AMARILLO, TX 79106
Pediatrics
1500 S COULTER ST STE 1
AMARILLO, TX 79106
Pediatrics
1500 S COULTER ST STE 1
AMARILLO, TX 79106
Nurse Practitioner (Pediatrics)
1500 S COULTER ST STE 1
AMARILLO, TX 79106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is FMC Medical Foundation, Inc's NPI number?

The NPI number for FMC Medical Foundation, Inc is 1003825852. It was assigned to this organization in the NPPES registry on August 7, 2006. The provider was formerly known as Panhandle Pediatric Group P A.

Where is FMC Medical Foundation, Inc located?

FMC Medical Foundation, Inc is located at 1500 S Coulter St Ste 1, Amarillo, TX 79106. The listed phone number is (806) 354-0404.

What is FMC Medical Foundation, Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does FMC Medical Foundation, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for FMC Medical Foundation, Inc was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.