IBERIA MEDICAL CLINIC, P.A.
NPI 1043331812
Family Medicine in Fort Worth, TX
About Iberia Medical Clinic, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IBERIA MEDICAL CLINIC, P.A. (NPI 1043331812), doing business as Southside Medical Clinic, is a healthcare organization registered as a family medicine in Fort Worth, Texas and active in the NPI registry since April 2007. The organization lists Pamela E Thomson, Credentialing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
Group Practice 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Iberia Medical Clinic, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Iberia Medical Clinic, P.A., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 Iberia Medical Clinic, P.A.'s NPI number?
The NPI number for Iberia Medical Clinic, P.A. is 1043331812. It was assigned to this organization in the NPPES registry on April 2, 2007. The provider is doing business as Southside Medical Clinic.
Where is Iberia Medical Clinic, P.A. located?
Iberia Medical Clinic, P.A. is located at 546 W Seminary Dr Ste A, Fort Worth, TX 76115. The listed phone number is (817) 924-7978.
What is Iberia Medical Clinic, P.A.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Iberia Medical Clinic, P.A. enrolled in Medicare?
Yes. Iberia Medical Clinic, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Iberia Medical Clinic, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Iberia Medical Clinic, P.A., in Family Practice and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Iberia Medical Clinic, P.A. accept?
Health plans from Molina Healthcare and WellPoint list Iberia Medical Clinic, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Iberia Medical Clinic, P.A. was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Iberia Medical Clinic, P.a. · NPI 1043331812
Family Medicine organization in Fort Worth, Texas. Organization record, active in the CMS NPPES registry since April 2, 2007.
## Identity
- **NPI:** 1043331812 (Entity type: Organization)
- **Enumerated:** April 2, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Southside Medical Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Pamela Thomson, CREDENTIALING MANAGER
## Practice location
- **Address:** 546 W SEMINARY DR STE A, Fort Worth, TX 76115-1361
- **Phone:** (817) 924-7978
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 9, 2025
- **Other identifiers:** Medicaid 4172611-01 (TX); Medicaid 4172611-02 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1043331812) · Data from the CMS NPPES public registry.