ANDREWS COUNTY
NPI 1861488694
Family Medicine in Andrews, TX

Active since September 27, 2005CLIA 45D0882632 · Waiver
208 NW 2ND ST, ANDREWS, TX 79714(432) 524-1434(432) 524-1461 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Andrews County NPPES

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

ANDREWS COUNTY (NPI 1861488694) is a healthcare organization registered as a family medicine in Andrews, Texas and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through February 14, 2028 and lists Gordon Mattimoe, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1861488694
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameANDREWS COUNTY
Location Address208 NW 2ND STAndrews, TX 79714-6308
Mailing Address208 Nw 2nd StAndrews, TX 79714-6308 · (432) 524-1434 · Fax (432) 524-1461
Fax(432) 524-1461
Organization SubpartNo
Authorized OfficialGordon MattimoeAuthorized Official · (432) 524-1434
Enumeration DateSeptember 27, 2005
Last NPPES UpdateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
✔ NPI 1861488694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
208 NW 2ND ST, Andrews, TX 79714

Other Identifiers 5

Medicaid094701202TX
Medicaid063303402TX
Medicaid094701201TX
Medicaid017486401TX
Medicaid094701203TX

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

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)

Andrews County is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Andrews County, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1700872421
208 NW 2ND ST
Andrews, TX 79714
(432) 524-1434
✔ PECOSSame address
Nurse Practitioner
NPI 1497007116
208 NW 2ND ST
Andrews, TX 79714
(432) 524-1441
✔ PECOSSame address

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 45D0882632

Andrews County Health Department · Andrews, TX
Active · expires Feb 14, 2028
CLIA Number45D0882632
Laboratory TypeOther
Certificate Effective DateFebruary 15, 2026
Certificate Expiration DateFebruary 14, 2028
Laboratory DirectorGordon Mattimoe
Laboratory Phone(432) 524-1434
Laboratory LocationAndrews County Health Department208 NW 2nd Street, Andrews, TX 79714
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 Andrews County's NPI number?

The NPI number for Andrews County is 1861488694. It was assigned to this organization in the NPPES registry on September 27, 2005.

Where is Andrews County located?

Andrews County is located at 208 NW 2nd St, Andrews, TX 79714. The listed phone number is (432) 524-1434.

What is Andrews County's specialty?

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

Is Andrews County enrolled in Medicare?

Yes. Andrews County is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Andrews County?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Andrews County, 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.

Does Andrews County hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0882632) is associated with this NPI, valid through February 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Andrews County accept?

Health plans from Blue Cross and Blue Shield of Texas list Andrews County 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 Andrews County was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.