ACCESS MEDICAL CLINIC
NPI 1174104657
Clinic/Center - Rural Health in Hawkinsville, GA
About Access Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ACCESS MEDICAL CLINIC (NPI 1174104657) is a healthcare organization registered as a rural health in Hawkinsville, Georgia and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through May 11, 2027 and lists Monya York, Controller, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Access Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Access Medical Clinic, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (17)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 11D2224256
Access Medical Clinic Georgia LLC · Hawkinsville, GAFrequently 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 Access Medical Clinic Georgia LLC's NPI number?
The NPI number for Access Medical Clinic Georgia LLC is 1174104657. It was assigned to this organization in the NPPES registry on April 16, 2021. The provider is doing business as Access Medical Clinic.
Where is Access Medical Clinic Georgia LLC located?
Access Medical Clinic Georgia LLC is located at 37 341 Byp, Hawkinsville, GA 31036. The listed phone number is (478) 845-4842.
What is Access Medical Clinic Georgia LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Access Medical Clinic Georgia LLC enrolled in Medicare?
Yes. Access Medical Clinic Georgia LLC is registered in the Medicare PECOS enrollment system.
When is Access Medical Clinic Georgia LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Georgia, Rural Health Clinic) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Access Medical Clinic Georgia LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 3 Medicare specialties reassign their Medicare billing to Access Medical Clinic Georgia LLC. 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. The largest specialties are Nurse Practitioner (14), Family Practice (2) and Internal Medicine (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Access Medical Clinic Georgia LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2224256) is associated with this NPI, valid through May 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Access Medical Clinic Georgia LLC accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Access Medical Clinic Georgia LLC 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 Access Medical Clinic Georgia LLC was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Access Medical Clinic · NPI 1174104657
Rural Health organization in Hawkinsville, Georgia. Organization record, active in the CMS NPPES registry since April 16, 2021.
## Identity
- **NPI:** 1174104657 (Entity type: Organization)
- **Enumerated:** April 16, 2021
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Access Medical Clinic Georgia Llc
- **Organization subpart:** No
- **Authorized official:** Monya York, CONTROLLER
## Practice location
- **Address:** 37 341 BYP, Hawkinsville, GA 31036-0000
- **Phone:** (478) 845-4842 · **Fax:** (833) 606-0577
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Part A, Georgia, Rural Health Clinic) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 17 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (14), Family Practice (2), Internal Medicine (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 13, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174104657) · Data from the CMS NPPES public registry.