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

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: October 25, 2026.

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

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
Open in Google Maps ↗

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 4400 SW 14th Ave Ste 100Amarillo, TX 79101-4140 · Phone (806) 337-4555 · Fax (806) 337-4551
Location 51500 S Coulter St Ste 1Amarillo, TX 79106-1787 · Phone (806) 354-0404 · Fax (806) 358-4851
Location 61500 S Coulter St Ste 6Amarillo, TX 79106-1790 · Phone (806) 467-9777 · Fax (806) 467-9799
Location 75512 Gem Lake Rd Ste 500Amarillo, TX 79106-4227 · Phone (806) 718-5130 · Fax (806) 718-5130
Location 88601 Hillside RdAmarillo, TX 79119-8032 · Phone (806) 350-7280 · Fax (806) 350-7281
Location 9911 23rd StCanyon, TX 79015-4645 · Phone (806) 655-2104 · Fax (806) 655-0522
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 122329 Ross OsageAmarillo, TX 79103 · Phone (806) 350-5790 · Fax (806) 350-5791

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fmc Medical Foundation, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

51

Medicare enrollment records show 51 clinicians reassign Medicare billing to FMC Medical Foundation, Inc., which bills Medicare for the services they deliver. Of these, 7 practice at this address and 34 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nurse Practitioner37
Family Practice10
Pediatric Medicine3
Internal Medicine1

Nearest to this location (20)

See all 51
Eric Cox, M.D.
Family Practice
NPI 1578560231
2701 S GEORGIA ST
Amarillo, TX 79109
(806) 350-8980
✔ PECOS✔ Accepts MedicareSame address
Genkai Huang
Family Practice
NPI 1053949362
2701 S GEORGIA ST
Amarillo, TX 79109
(806) 350-8980
✔ PECOS✔ Accepts MedicareSame address
Callie Land, FNP-C, PMHNP-BC
Nurse Practitioner
NPI 1245787365
2701 S GEORGIA ST
Amarillo, TX 79109
(806) 350-7601
✔ PECOS✔ Accepts MedicareSame address
Jennifer Licon, FNP-C
Nurse Practitioner
NPI 1720721590
2701 S GEORGIA ST
Amarillo, TX 79109
(806) 350-3000
✔ PECOS✔ Accepts MedicareSame address
Ana Prado, FNP
Nurse Practitioner
NPI 1497630305
2701 S GEORGIA ST
Amarillo, TX 79109
(806) 350-8980
✔ PECOSSame address
Leslee Rosas, FNP-C
Nurse Practitioner
NPI 1124665161
2701 S GEORGIA ST
Amarillo, TX 79109
(806) 350-8980
✔ PECOS✔ Accepts MedicareSame address
Courtni Andrus, N.P.
Nurse Practitioner
NPI 1982903894
2701 S GEORGIA ST
Amarillo, TX 79109
(806) 350-8969
✔ PECOS✔ Accepts MedicareSame address
Patricia Turnbow, FNP-BC
Nurse Practitioner
NPI 1083852412
400 SW 14TH AVE STE 100
Amarillo, TX 79101
(806) 337-4555
✔ PECOS✔ Accepts Medicare1.7 mi
Anjelica Dominguez, FNP-C
Nurse Practitioner
NPI 1811629652
609 S CAROLINA ST
Amarillo, TX 79106
(806) 803-9486
✔ PECOS✔ Accepts Medicare1.9 mi
Andrew Lee, MD
Family Practice
NPI 1861837668
6 MEDICAL DR
Amarillo, TX 79106
(806) 718-5130
✔ PECOS✔ Accepts Medicare2.4 mi
Colin Vo, FNP-C
Nurse Practitioner
NPI 1043172620
5512 GEM LAKE RD STE 500
Amarillo, TX 79106
(806) 718-5130
✔ PECOS2.8 mi
Jacqueline Willier, FNP-C
Nurse Practitioner
NPI 1457912735
5512 GEM LAKE RD
Amarillo, TX 79106
(806) 718-5130
✔ PECOS2.8 mi
Anastacia Nix, MD
Family Practice
NPI 1508151309
2329 ROSS OSAGE ST
Amarillo, TX 79103
(806) 350-5790
✔ PECOS✔ Accepts Medicare2.9 mi
Anita Allison, FNP-C
Nurse Practitioner
NPI 1548811656
2329 ROSS OSAGE ST
Amarillo, TX 79103
(806) 350-5790
✔ PECOS2.9 mi
William Ledford, FNP
Nurse Practitioner
NPI 1093759862
7306 SW 34TH AVE STE 4
Amarillo, TX 79121
(806) 350-8850
✔ PECOS✔ Accepts Medicare3.2 mi
Mariada George, MD
Pediatric Medicine
NPI 1275543001
1500 S COULTER ST STE 1
Amarillo, TX 79106
(806) 354-0404
✔ PECOS3.3 mi
John Young, MD
Pediatric Medicine
NPI 1578572392
1500 S COULTER ST STE 1
Amarillo, TX 79106
(806) 354-0404
✔ PECOS✔ Accepts Medicare3.3 mi
Gabrielle Tardieu, MD
Pediatric Medicine
NPI 1932621182
1500 S COULTER ST STE 1
Amarillo, TX 79106
(806) 354-0404
✔ PECOS3.4 mi
Sang Tae Kim, DO
Family Practice
NPI 1144330762
1500 S COULTER ST SUITE 6
Amarillo, TX 79106
(806) 467-9777
✔ PECOS✔ Accepts Medicare3.4 mi
David Trahan, MD
Family Practice
NPI 1720649858
8601 HILLSIDE RD
Amarillo, TX 79119
(806) 350-6805
✔ PECOS✔ Accepts Medicare4.8 mi
See all 51 clinicians

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

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.

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 1104255272. It was assigned to this organization in the NPPES registry on November 8, 2013.

Where is FMC Medical Foundation, Inc. located?

FMC Medical Foundation, Inc. is located at 2701 S Georgia St, Amarillo, TX 79109. The listed phone number is (806) 350-3000.

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

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

Is FMC Medical Foundation, Inc. enrolled in Medicare?

Yes. FMC Medical Foundation, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through FMC Medical Foundation, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 51 clinicians in 4 Medicare specialties reassign their Medicare billing to FMC Medical Foundation, Inc.. 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 Nurse Practitioner (37), Family Practice (10) and Pediatric Medicine (3). Of these, 7 practice at this address and 34 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does FMC Medical Foundation, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0506538) is associated with this NPI, valid through October 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for FMC Medical Foundation, Inc. was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.