FELIZ FAMILY MEDICAL CLINIC PLLC
NPI 1013568914
Clinic/Center - Primary Care in Fort Worth, TX

Active since September 23, 2019
3109 6TH AVE, FORT WORTH, TX 76110(817) 923-7055(817) 923-7902 Get Directions Write a Review

NPPES record last updated: September 23, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Feliz Family Medical Clinic Pllc NPPES

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

FELIZ FAMILY MEDICAL CLINIC PLLC (NPI 1013568914) is a healthcare organization registered as a primary care in Fort Worth, Texas and active in the NPI registry since September 2019. The organization lists Seema Mottackal George, Owner, as its authorized official.

NPPES Registry Identity

NPI1013568914
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFELIZ FAMILY MEDICAL CLINIC PLLC
Location Address3109 6TH AVEFort Worth, TX 76110-3800
Mailing Address200 Deer Creek LnSunnyvale, TX 75182-3204 · (972) 965-9402
Fax(817) 923-7902
Organization SubpartNo
Authorized OfficialSeema Mottackal GeorgeOwner · (972) 965-9402
Enumeration DateSeptember 23, 2019
✔ NPI 1013568914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
3109 6TH AVE, Fort Worth, TX 76110

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Feliz Family Medical Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Feliz Family Medical Clinic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1568789865
2698 N GALLOWAY AVE STE 106
Mesquite, TX 75150
(972) 285-4141
✔ PECOS✔ Accepts Medicare43 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Feliz Family Medical Clinic PLLC's NPI number?

The NPI number for Feliz Family Medical Clinic PLLC is 1013568914. It was assigned to this organization in the NPPES registry on September 23, 2019.

Where is Feliz Family Medical Clinic PLLC located?

Feliz Family Medical Clinic PLLC is located at 3109 6th Ave, Fort Worth, TX 76110. The listed phone number is (817) 923-7055.

What is Feliz Family Medical Clinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Feliz Family Medical Clinic PLLC enrolled in Medicare?

Yes. Feliz Family Medical Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Feliz Family Medical Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Feliz Family Medical Clinic PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Feliz Family Medical Clinic PLLC was last updated on September 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.