Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PEAK HEALTH MEDICAL GROUP LLC
NPI 1164315560
Clinic/Center - Rural Health in Payson, AZ

Active since June 02, 2025CLIA 03D2321540 · Waiver
127 E MAIN ST STE A, PAYSON, AZ 85541(928) 492-9222 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2026, Jun 2, 2025 (2 updates tracked since 2025).

About Peak Health Medical Group Llc NPPES

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

PEAK HEALTH MEDICAL GROUP LLC (NPI 1164315560) is a healthcare organization registered as a rural health in Payson, Arizona and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through April 3, 2027 and lists Chika Ugorji, Administrator/cfo, as its authorized official.

NPPES Registry Identity

NPI1164315560
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePEAK HEALTH MEDICAL GROUP LLC
Location Address127 E MAIN ST STE APayson, AZ 85541-5646
Mailing Address13921 W Grand Ave Bldg ESurprise, AZ 85374-2439 · (904) 994-4532
Organization SubpartNo
Authorized OfficialChika UgorjiAdministrator/cfo · (928) 951-0395
Enumeration DateJune 2, 2025
Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
NPI 1164315560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
127 E MAIN ST STE A, Payson, AZ 85541

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

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 03D2321540

Peak Health Medical Group · Payson, AZ
Active · expires Apr 3, 2027
CLIA Number03D2321540
Laboratory TypePhysician Office
Certificate Effective DateApril 4, 2025
Certificate Expiration DateApril 3, 2027
Laboratory DirectorChristopher U. Rex
Laboratory Phone(928) 492-9222
Laboratory LocationPeak Health Medical Group127 E Main St Ste A, Payson, AZ 85541
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 6

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

Dermatology
127 E MAIN ST STE A
PAYSON, AZ 85541
Dermatology
127 E MAIN ST STE A
PAYSON, AZ 85541
Nurse Practitioner
127 E MAIN ST STE A
PAYSON, AZ 85541
Nurse Practitioner (Family)
127 E MAIN ST STE A
PAYSON, AZ 85541
Family Medicine
127 E MAIN ST STE A
PAYSON, AZ 85541
Pediatrics
127 E MAIN ST STE A
PAYSON, AZ 85541

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 Peak Health Medical Group LLC's NPI number?

The NPI number for Peak Health Medical Group LLC is 1164315560. It was assigned to this organization in the NPPES registry on June 2, 2025.

Where is Peak Health Medical Group LLC located?

Peak Health Medical Group LLC is located at 127 E Main St Ste A, Payson, AZ 85541. The listed phone number is (928) 492-9222.

What is Peak Health Medical Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Peak Health Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2321540) is associated with this NPI, valid through April 3, 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 Peak Health Medical Group LLC was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.