PRIORITY FAMILY MEDICAL CLINIC LLC - NPI 1205309812

Q: What is Priority Family Medical Clinic LLC's NPI number?

The NPI number for Priority Family Medical Clinic LLC is 1205309812. It was assigned to this organization in the NPPES registry on January 7, 2019.

Q: What is Priority Family Medical Clinic LLC's specialty?

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

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About Priority Family Medical Clinic Llc NPPES

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

PRIORITY FAMILY MEDICAL CLINIC LLC (NPI 1205309812) is a healthcare organization registered as a family medicine in Prescott, Arizona and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through January 29, 2027 and lists Thomas Judah Gann, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1205309812

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePRIORITY FAMILY MEDICAL CLINIC LLC

Location Address3165 STILLWATER DRPrescott, AZ 86305-7173

Mailing Address3165 Stillwater DrPrescott, AZ 86305-7173 · (928) 277-0875

Phone(928) 277-0875

Fax(928) 379-5177

Organization SubpartNo

Authorized OfficialThomas Judah GannNurse Practitioner · (928) 277-0875

Enumeration DateJanuary 7, 2019

Last NPPES UpdateOctober 25, 20223 updates tracked since enumeration

NPPES CertifiedOctober 25, 2022

✔ NPI 1205309812 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.

3165 STILLWATER DR, Prescott, AZ 86305

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

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 03D2161294

Priority Family Medical Clinic LLC · Prescott, AZ

Active · expires Jan 29, 2027

CLIA Number03D2161294

Laboratory TypePhysician Office

Certificate Effective DateJanuary 30, 2025

Certificate Expiration DateJanuary 29, 2027

Laboratory DirectorThomas J. Gann

Laboratory Phone(928) 277-0875

Laboratory LocationPriority Family Medical Clinic LLC3165 Stillwater Dr, Prescott, AZ 86305

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 2

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

MRS. BRENDA A. AUSTIN NP-C

Nurse Practitioner (Family)

3165 STILLWATER DR
PRESCOTT, AZ 86305

Yavapai County (928) 277-0875

CLAUSSEN COLLABORATIVE MEDICAL CLINIC LLC

Nurse Practitioner (Family)

3165 STILLWATER DR
PRESCOTT, AZ 86305

Yavapai County (928) 277-0875

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 Priority Family Medical Clinic LLC's NPI number?

The NPI number for Priority Family Medical Clinic LLC is 1205309812. It was assigned to this organization in the NPPES registry on January 7, 2019.

Where is Priority Family Medical Clinic LLC located?

Priority Family Medical Clinic LLC is located at 3165 Stillwater Dr, Prescott, AZ 86305. The listed phone number is (928) 277-0875.

What is Priority Family Medical Clinic LLC's specialty?

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

Does Priority Family Medical Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2161294) is associated with this NPI, valid through January 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Priority Family Medical Clinic LLC accept?

Health plans from Blue Cross Blue Shield of Arizona list Priority Family Medical Clinic 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 Priority Family Medical Clinic LLC was last updated on October 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.