ATHENA MEDICAL GROUP
NPI 1164918124
Family Medicine in Phoenix, AZ
NPI Status: Active since July 02, 2018
Contact Information
16515 S 40TH ST STE 143
PHOENIX, AZ
ZIP 85048
Phone: (480) 712-8319
Fax: (480) 712-1305
- Organization
- Family Medicine
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
About ATHENA MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Athena Medical Group, a primary care provider established in Phoenix, Arizona operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1164918124 assigned on July 2018. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated January 2026. Athena Medical Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Yancey Scott Gaither Ceo (Managing Partner)
- NPI
- 1164918124
- Provider Name
- ATHENA MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 16515 S 40TH ST STE 143 PHOENIX, AZ 85048
- Location Phone
- (480) 712-8319
- Location Fax
- (480) 712-1305
- Mailing Address
- 16515 S 40TH ST STE 143 PHOENIX, AZ 85048
- Mailing Phone
- (480) 712-8319
- Mailing Fax
- (480) 712-1305
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-02-2018
- Last Update Date
- 01-20-2026
- Code Navigator
A primary care provider (PCP) like Athena Medical Group 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 .
Athena Medical Group is a medicare supplier with PTAN 20453477 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Ostomy Supplies or Surgical Dressings.
Location Map
Secondary Locations
- 800 5th Avenue, Ste 101-800
Seattle, WA 98104
(480) 712-8319 - 401 Ryland St, Suite 200-A
Reno, NV 89502
(480) 712-8319 - 7901 4th St N Ste 300
Saint Petersburg, FL 33702
(480) 712-8319 - 5900 Balcones Drive Suite 6954
Austin, TX 78731
(480) 712-8319 - 1942 Broadway St, Suite 314C
Boulder, CO 80302
(480) 712-8319
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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
- Bronze 8000 Individual Connect - EPO
- Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
- Bronze HSA 7000 Individual Connect - EPO
- Gold 2300 Individual Connect - EPO
- Regence Standard Bronze Plan Individual Connect - EPO
- Regence Standard Gold Plan Individual Connect - EPO
- Regence Standard Silver Plan Individual Connect - EPO
- Silver 6500 Individual Connect - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20453477
- Accepts Medicare Assignment
- YES
- Provider Type List
- NURSE PRACTITIONER.
- Competitive Bidding
- NO
Supplies List
- Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
- Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1164918124, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164918124, enumerated as an "organization" on July 02, 2018.
The provider is located at 16515 S 40TH ST STE 143 PHOENIX, AZ 85048 and the phone number is (480) 712-8319.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, BridgeSpan. Please consult your insurance carrier or call the provider to verify.
