CONCORD MEDICAL GROUP PLLC
NPI 1083630610
Emergency Medicine in Lubbock, TX

Active since July 15, 2006
1602 AVENUE Q, LUBBOCK, TX 79401(888) 264-0330(800) 611-5029 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 30, 2026, Jan 8, 2025, Feb 26, 2020 (3 updates tracked since 2020).

About Concord Medical Group Pllc NPPES

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

CONCORD MEDICAL GROUP PLLC (NPI 1083630610) is a healthcare organization registered as an emergency medicine in Lubbock, Texas and active in the NPI registry since July 2006. The organization lists Jordan Ann Tuckett, Evp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1083630610
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameCONCORD MEDICAL GROUP PLLC
Location Address1602 AVENUE QLubbock, TX 79401-4732
Mailing AddressPo Box 3689, Department 257Sugar Land, TX 77487-3310 · (888) 264-0330 · Fax (800) 611-5029
Fax(800) 611-5029
Organization SubpartNo
Authorized OfficialJordan Ann TuckettEvp Of Operations · (972) 829-6610
Enumeration DateJuly 15, 2006
Last NPPES UpdateApril 30, 20263 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
✔ NPI 1083630610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1602 AVENUE Q, Lubbock, TX 79401

Other Identifiers 1

Medicaid200065501TX

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Concord Medical Group Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20050707000531Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

1,713

Medicare enrollment records show 1,713 clinicians reassign Medicare billing to Concord Medical Group PLLC, which bills Medicare for the services they deliver. Of these, 27 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 31

Emergency Medicine631
Family Practice591
Internal Medicine235
Nurse Practitioner110
General Surgery32
Hospitalist29
General Practice21
Nephrology9
23 other specialties55

Nearest to this location (20)

See all 1,713
Family Practice
NPI 1003997768
CONCORD MEDICAL GROUP 1602 AVENUE Q
Lubbock, TX 79401
(972) 829-6613
✔ PECOS✔ Accepts Medicare0.7 mi
Internal Medicine
NPI 1023443371
3415 19TH ST
Lubbock, TX 79410
(806) 725-4130
✔ PECOS✔ Accepts Medicare1.9 mi
Internal Medicine
NPI 1447213194
3506 21ST ST STE 401
Lubbock, TX 79410
(469) 257-3500
✔ PECOS✔ Accepts Medicare2.0 mi
Emergency Medicine
NPI 1598294712
3615 19TH ST
Lubbock, TX 79410
(806) 725-4288
✔ PECOS✔ Accepts Medicare2.0 mi
Nurse Practitioner
NPI 1770020703
3510 4TH ST
Lubbock, TX 79415
(806) 928-5655
✔ PECOS✔ Accepts Medicare2.1 mi
Family Practice
NPI 1659720944
3601 4TH ST MS 6211
Lubbock, TX 79430
(806) 743-2978
✔ PECOS2.1 mi
Family Practice
NPI 1679984181
3601 4TH ST # MS 8143
Lubbock, TX 79430
(806) 743-4071
✔ PECOS✔ Accepts Medicare2.1 mi
General Surgery
NPI 1578909644
3601 4TH ST STOP 8312
Lubbock, TX 79430
(806) 743-2373
✔ PECOS✔ Accepts Medicare2.1 mi
Family Practice
NPI 1164169801
3601 4TH ST DEPT OF
Lubbock, TX 79430
(806) 743-2757
✔ PECOS✔ Accepts Medicare2.1 mi
Emergency Medicine
NPI 1518042662
2412 50TH ST
Lubbock, TX 79412
(806) 744-7223
✔ PECOS✔ Accepts Medicare2.3 mi
Family Practice
NPI 1972942209
2015 50TH ST
Lubbock, TX 79412
(806) 775-2933
✔ PECOS✔ Accepts Medicare2.3 mi
Emergency Medicine
NPI 1245252428
2602 50TH ST SUITE 300
Lubbock, TX 79413
(806) 792-2815
✔ PECOS✔ Accepts Medicare2.4 mi
Pediatric Medicine
NPI 1780979435
4015 22ND PL
Lubbock, TX 79410
(806) 725-0030
✔ PECOS2.5 mi
General Surgery
NPI 1770567109
4505 15TH ST
Lubbock, TX 79416
(806) 793-3510
✔ PECOS✔ Accepts Medicare2.9 mi
Family Practice
NPI 1265056683
FAMILY MEDICINE RESIDENCY PROGRAM TTU HSC 3601 4TH STREET MAIL STOP 8143
Lubbock, TX 79430
(806) 743-6130
✔ PECOS✔ Accepts Medicare2.9 mi
Family Practice
NPI 1164113536
TTUHSC DEPARTMENT OF FAMILY MEDICINE 3601 4TH STREET STOP 8143
Lubbock, TX 79430
(806) 743-6130
✔ PECOS✔ Accepts Medicare2.9 mi
Family Practice
NPI 1962769588
DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE 3601 4TH STREET, STOP 8143
Lubbock, TX 79430
(806) 743-2757
✔ PECOS✔ Accepts Medicare2.9 mi
Internal Medicine
NPI 1013402502
4816 7TH ST
Lubbock, TX 79416
(432) 230-3005
✔ PECOS✔ Accepts Medicare3.4 mi
Internal Medicine
NPI 1417140641
4642 N LOOP 289
Lubbock, TX 79416
(806) 722-2161
✔ PECOS✔ Accepts Medicare3.4 mi
Family Practice
NPI 1043891690
3601 4TH ST
Lubbock, TX 79430
(806) 743-2757
✔ PECOS✔ Accepts Medicare3.8 mi
See all 1,713 clinicians

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 Concord Medical Group PLLC's NPI number?

The NPI number for Concord Medical Group PLLC is 1083630610. It was assigned to this organization in the NPPES registry on July 15, 2006.

Where is Concord Medical Group PLLC located?

Concord Medical Group PLLC is located at 1602 Avenue Q, Lubbock, TX 79401. The listed phone number is (888) 264-0330.

What is Concord Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Concord Medical Group PLLC enrolled in Medicare?

Yes. Concord Medical Group PLLC is registered in the Medicare PECOS enrollment system.

When is Concord Medical Group PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Concord Medical Group PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,713 clinicians in 31 Medicare specialties reassign their Medicare billing to Concord Medical Group 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. The largest specialties are Emergency Medicine (631), Family Practice (591) and Internal Medicine (235). Of these, 27 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Concord Medical Group PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Concord Medical Group PLLC 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 Concord Medical Group PLLC was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.