FMC MEDICAL FOUNDATION, INC.
NPI 1104255272
Family Medicine in Amarillo, TX

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

The NPI number for FMC Medical Foundation, Inc. is 1104255272. It was assigned to this organization in the NPPES registry on November 8, 2013.

Q: What is FMC Medical Foundation, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since November 08, 2013CLIA 45D0506538 · Waiver

2701 S GEORGIA ST, AMARILLO, TX 79109(806) 350-3000(806) 350-3337 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2025, Nov 17, 2025, May 5, 2025 and 8 more (11 updates tracked since 2019).

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About Fmc Medical Foundation, Inc. NPPES

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

FMC MEDICAL FOUNDATION, INC. (NPI 1104255272) is a healthcare organization registered as a family medicine in Amarillo, Texas and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through October 31, 2027, maintains 12 additional practice locations, and lists Stefanie Feemster, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1104255272

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameFMC MEDICAL FOUNDATION, INC.

Location Address2701 S GEORGIA STAmarillo, TX 79109-1979

Mailing Address2501 Lakeview DrAmarillo, TX 79109-1531 · (806) 358-9400 · Fax (806) 355-2453

Phone(806) 350-3000

Fax(806) 350-3337

Organization SubpartNo

Authorized OfficialStefanie FeemsterCredentialing Specialist · (806) 350-7325

Enumeration DateNovember 8, 2013

Last NPPES UpdateDecember 15, 202511 updates tracked since enumeration

NPPES CertifiedDecember 15, 2025

✔ NPI 1104255272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPediatricsTaxonomy 208000000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X

2701 S GEORGIA ST, Amarillo, TX 79109

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Secondary Practice Locations 12

Location 11500 S Coulter St Ste 3Amarillo, TX 79106-1787 · Phone (806) 350-7601 · Fax (806) 350-7602

Location 26 Medical DrAmarillo, TX 79106-4136 · Phone (806) 718-5130 · Fax (806) 718-5131

Location 37306 SW 34th Ave Ste 3Amarillo, TX 79121-1446 · Phone (806) 350-3010 · Fax (806) 350-3015

Location 41500 S Coulter St Ste 1Amarillo, TX 79106-1787 · Phone (806) 354-0404 · Fax (806) 358-4851

Location 51500 S Coulter St Ste 6Amarillo, TX 79106-1790 · Phone (806) 467-9777 · Fax (806) 467-9799

Location 62329 Ross OsageAmarillo, TX 79103 · Phone (806) 350-5790 · Fax (806) 350-5791

Location 7400 SW 14th Ave Ste 100Amarillo, TX 79101-4140 · Phone (806) 337-4555 · Fax (806) 337-4551

Location 8911 23rd StCanyon, TX 79015-4645 · Phone (806) 655-2104 · Fax (806) 655-0522

Location 98601 Hillside RdAmarillo, TX 79119-8032 · Phone (806) 350-6805 · Fax (806) 350-6806

Location 102501 Lakeview DrAmarillo, TX 79109-1531 · Phone (806) 358-9400 ext. 3355 · Fax (806) 355-7864

Location 117306 SW 34th Ave Ste 4Amarillo, TX 79121-1446 · Phone (806) 350-8850 · Fax (806) 350-8855

Location 125512 Gem Lake Rd Ste 500Amarillo, TX 79106-4227 · Phone (806) 718-5130 · Fax (806) 718-5130

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 45D0506538

Fmc Medical Foundation Inc · Canyon, TX

Active · expires Oct 31, 2027

CLIA Number45D0506538

Laboratory TypePhysician Office

Certificate Effective DateNovember 1, 2025

Certificate Expiration DateOctober 31, 2027

Laboratory DirectorDr. David Bruce Clarke

Laboratory Phone(806) 655-2104

Laboratory LocationFmc Medical Foundation Inc911 23rd Street, Canyon, TX 79015

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

DR. WESLEY SCOTT NICKENS M.D.

Family Medicine