ATHENA MEDICAL GROUP
NPI 1164918124
Family Medicine in Phoenix, AZ

Active since July 02, 2018
16515 S 40TH ST STE 143, PHOENIX, AZ 85048(480) 712-8319(480) 712-1305 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 20, 2026, Aug 20, 2024, Oct 31, 2022 and 4 more (7 updates tracked since 2018).

About Athena Medical Group NPPES

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

ATHENA MEDICAL GROUP (NPI 1164918124) is a healthcare organization registered as a family medicine in Phoenix, Arizona and active in the NPI registry since July 2018. The organization maintains 5 additional practice locations and lists Yancey Scott Gaither, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1164918124
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameATHENA MEDICAL GROUP
Location Address16515 S 40TH ST STE 143Phoenix, AZ 85048-0560
Mailing Address16515 S 40th St Ste 143Phoenix, AZ 85048-0560 · (480) 712-8319 · Fax (480) 712-1305
Fax(480) 712-1305
Organization SubpartNo
Authorized OfficialYancey Scott GaitherManaging Partner · (480) 712-8319
Enumeration DateJuly 2, 2018
Last NPPES UpdateJanuary 20, 20267 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1164918124 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.
16515 S 40TH ST STE 143, Phoenix, AZ 85048

Secondary Practice Locations 5

Location 1800 5th Avenue, Ste 101-800Seattle, WA 98104 · Phone (480) 712-8319 · Fax (480) 712-1305
Location 27901 4th St N Ste 300Saint Petersburg, FL 33702-4399 · Phone (480) 712-8319
Location 3401 Ryland St, Suite 200-AReno, NV 89502 · Phone (480) 712-8319 · Fax (480) 712-1305
Location 45900 Balcones Drive Suite 6954Austin, TX 78731 · Phone (480) 712-8319 · Fax (480) 712-1305
Location 51942 Broadway St, Suite 314CBoulder, CO 80302 · Phone (480) 712-8319 · Fax (480) 712-1305

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

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)

Athena Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

48

Medicare enrollment records show 48 clinicians reassign Medicare billing to Athena Medical Group, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.

Nearest to this location (20)

See all 48
Nurse Practitioner
NPI 1437029477
16515 S 40TH ST STE 143
Phoenix, AZ 85048
(480) 712-8319
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1679356083
16515 S 40TH ST STE 143
Phoenix, AZ 85048
(480) 331-6322
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306418819
16515 S 40TH ST STE 143
Phoenix, AZ 85048
(480) 712-8319
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1568835890
16515 S. 40TH ST, BLDG 9, SUITE 143
Phoenix, AZ 85048
(480) 712-8319
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1194492306
16515 S 40TH ST STE 143
Phoenix, AZ 85048
(480) 712-1305
✔ PECOSSame address
Nurse Practitioner
NPI 1083150205
16515 S 40TH ST STE 143
Phoenix, AZ 85048
(480) 712-8319
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1558058644
16515 S 40TH ST STE 143
Phoenix, AZ 85048
(480) 712-8319
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1134435506
4025 E CHANDLER BLVD STE 42
Phoenix, AZ 85048
(480) 677-8282
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1720954753
2427 E PLEASANT LN
Phoenix, AZ 85042
(480) 358-8207
✔ PECOS✔ Accepts Medicare6.7 mi
Nurse Practitioner
NPI 1003347147
1710 N 16TH ST STE F1
Phoenix, AZ 85006
(623) 224-3618
✔ PECOS12 mi
Nurse Practitioner
NPI 1477218600
1060 E SOUTHERN AVE STE 106
Mesa, AZ 85204
(808) 707-4004
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1487433355
3807 N 7TH ST
Phoenix, AZ 85014
(602) 258-6797
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1467425751
13400 E SHEA BLVD
Scottsdale, AZ 85259
(480) 301-8000
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1598420846
5555 W THUNDERBIRD RD
Glendale, AZ 85306
(602) 865-5555
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1760249247
287 E HUNT HWY STE 105
San Tan Valley, AZ 85143
(480) 677-8282
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1215659644
38163 S CATTLE TANK RD
Marana, AZ 85658
(520) 310-4008
✔ PECOS✔ Accepts Medicare70 mi
Nurse Practitioner
NPI 1881333110
9089 W ALVERTON DR
Marana, AZ 85653
(520) 820-8971
✔ PECOS✔ Accepts Medicare80 mi
Nurse Practitioner
NPI 1679876031
1707 W SAINT MARYS RD STE 205
Tucson, AZ 85745
(520) 624-0888
✔ PECOS94 mi
Nurse Practitioner
NPI 1407381189
4729 E CAMP LOWELL DR
Tucson, AZ 85712
(520) 838-3540
✔ PECOS✔ Accepts Medicare96 mi
Nurse Practitioner
NPI 1659746071
1900 W VALENCIA RD MINUTECLINIC/
Tucson, AZ 85746
(866) 389-2727
✔ PECOS99 mi
See all 48 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Athena Medical Group LLC carries, from the Medicare DMEPOS supplier directory.

Athena Medical Group LLC

DMEPOS supplier · Phoenix, AZOperated by Athena Medical Group
✔

Accepts Medicare assignment

Athena Medical Group LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20453477
Medicare Participant SinceSeptember 15, 2018
Supplier Location16515 S 40th St Ste 143Phoenix, AZ 85048
Provider TypeNurse Practitioner

Medicare Product Categories

Ostomy Supplies
Pouches, Paste, Powder, Barrier wipes
Surgical Dressings
Gauze, Elastic bandages, Adhesive tape
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Athena Medical Group's NPI number?

The NPI number for Athena Medical Group is 1164918124. It was assigned to this organization in the NPPES registry on July 2, 2018.

Where is Athena Medical Group located?

Athena Medical Group is located at 16515 S 40th St Ste 143, Phoenix, AZ 85048. The listed phone number is (480) 712-8319.

What is Athena Medical Group's specialty?

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

Is Athena Medical Group enrolled in Medicare?

Yes. Athena Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Athena Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 48 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Athena Medical Group. 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, 7 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Athena Medical Group accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Athena Medical Group LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Athena Medical Group accept?

Health plans from Blue Cross and Blue Shield of Texas and Premera Blue Cross Blue Shield of Alaska list Athena Medical Group 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 Athena Medical Group was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.