PHOEBE FAMILY MEDICINE
NPI 1144205014
Clinic/Center - Rural Health in Ashburn, GA
- Organization
- Clinic/Center
- Rural Health
- CLIA Number: 11D0919399
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-08-2026
About PHOEBE FAMILY MEDICINE
This page provides the complete NPI Profile along with additional information for Phoebe Family Medicine, a primary care provider established in Ashburn, Georgia operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1144205014 assigned on December 2005. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The provider's is doing business as Phoebe Family Medicine. The authorized official of this NPI record is Stacey Flynt (Business Office Manager)
- NPI
- 1144205014 Verify this NPI
- Provider Legal Name
- PHOEBE WORTH MEDICAL CENTER, INC
- Other Organization Name
- PHOEBE FAMILY MEDICINE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 354 E WASHINGTON AVE ASHBURN, GA 31714
- Location Phone
- (229) 567-3361
- Mailing Address
- PO BOX 545 807 S ISABELLA STREET SYLVESTER, GA 31791
- Mailing Phone
- (229) 567-3361
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-13-2005
- Last Update Date
- 11-13-2007
- Code Navigator
A primary care provider (PCP) like Phoebe Family Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 113469 | MEDICARE ID-TYPE UNSPECIFIED (04) | GA | |
| 00002109C | MEDICAID (05) | GA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D0919399
- Facility Type
- Physician Office
- Certificate Effective Date
- November 09, 2024
- Certificate Expiration Date
- November 08, 2026
- Laboratory Director
- DR. EDWARD K. BASS III
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Phoebe Family Medicine to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144205014, enumerated as an "organization" on December 13, 2005.
The provider is located at 354 E WASHINGTON AVE ASHBURN, GA 31714 and the phone number is (229) 567-3361.
Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
