ATHENA MEDICAL GROUP
NPI 1164918124
Family Medicine in Phoenix, AZ

Q: 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.

Q: What is Athena Medical Group's specialty?

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

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: August 09, 2026.

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

On this page

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

Phone(480) 712-8319

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

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

Phone(480) 712-8319

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.

Other Providers at the Same Location NPPES 9

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

SANNA NEFF FNP-C

Nurse Practitioner (Family)