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Export Provider Record NPI 1104255272
Fmc Medical Foundation, Inc.
Organization Subpart: NO
Active
NPI Number1104255272
NPI TypeNPI-2 Organization
SpecialtyFamily Medicine
Provider Details
NPI1104255272
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2013-11-08
Last Updated2025-12-15
Authorized OfficialStefanie Feemster
Credentialing Specialist
Phone: 8063507325
Mailing Address2501 Lakeview Dr
Amarillo, TX 79109-1531
United States
Phone: (806) 358-9400 | Fax: (806) 355-2453
📍 View Map
Primary Practice Address2701 S Georgia St
Amarillo, TX 79109-1979
United States
Phone: (806) 350-3000 | Fax: (806) 350-3337
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No208000000X – Pediatrics
No363LF0000X – Nurse Practitioner, Family
No363A00000X – Physician Assistant
No364SP0808X – Clinical Nurse Specialist, Psych/Mental Health
Yes207Q00000X – Family Medicine
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About NPI 1104255272

Fmc Medical Foundation, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1104255272. The primary specialty listed is Family Medicine. The organization is located in Amarillo, TX. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2013-11-08. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1104255272?

NPI 1104255272 belongs to Fmc Medical Foundation, Inc., a Family Medicine in Amarillo, TX. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1104255272 active?

The current status of NPI 1104255272 in the NPPES registry is Active. The record was last updated on 2025-12-15.

What specialty is NPI 1104255272?

NPI 1104255272 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1104255272?

You can verify NPI 1104255272 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1104255272?

The primary practice address on file for NPI 1104255272 is 2701 S Georgia St, Amarillo, TX 79109-1979. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1104255272 issued?

NPI 1104255272 was first issued (enumerated) on 2013-11-08. The NPPES record was last updated on 2025-12-15.

Practice Location Map

Fmc Medical Foundation, Inc. is located at 2701 S Georgia St, Amarillo, TX. Use the map below to find directions or verify the practice location.

📍 2701 S Georgia St, Amarillo, TX 79109-1979  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Fmc Medical Foundation, Inc.. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-06-25 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162