GOOD SHEPHERD COMMUNITY CLINIC, INC.
NPI 1285010413
Clinic/Center - Federally Qualified Health Center (FQHC) in Ardmore, OK
About Good Shepherd Community Clinic, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GOOD SHEPHERD COMMUNITY CLINIC, INC. (NPI 1285010413) is a healthcare organization registered as a federally qualified health center (fqhc) in Ardmore, Oklahoma and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through December 25, 2027, maintains a secondary practice location in Ardmore, and lists Teresa Myers, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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)
Good Shepherd Community Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
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
21Medicare enrollment records show 21 clinicians reassign Medicare billing to Good Shepherd Community Clinic, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 16 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 21Source: 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 37D0910045
Good Shepherd Community Clinic, Inc · Ardmore, OKFrequently 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 Good Shepherd Community Clinic, Inc.'s NPI number?
The NPI number for Good Shepherd Community Clinic, Inc. is 1285010413. It was assigned to this organization in the NPPES registry on August 11, 2015.
Where is Good Shepherd Community Clinic, Inc. located?
Good Shepherd Community Clinic, Inc. is located at 20 12th Ave NW, Ardmore, OK 73401. The listed phone number is (580) 223-3411.
What is Good Shepherd Community Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Good Shepherd Community Clinic, Inc. enrolled in Medicare?
Yes. Good Shepherd Community Clinic, Inc. is registered in the Medicare PECOS enrollment system.
When is Good Shepherd Community Clinic, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Oklahoma, Federally Qualified Health Center (FQHC)) is due for revalidation by November 30, 2026. 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 Good Shepherd Community Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 6 Medicare specialties reassign their Medicare billing to Good Shepherd Community Clinic, Inc.. 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 (12), Family Practice (5) and Clinical Social Worker (1). Of these, 2 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Good Shepherd Community Clinic, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 37D0910045) is associated with this NPI, valid through December 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Good Shepherd Community Clinic, Inc. accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Good Shepherd Community Clinic, Inc. 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 Good Shepherd Community Clinic, Inc. was last updated on February 22, 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.
# Good Shepherd Community Clinic, Inc. · NPI 1285010413
Federally Qualified Health Center (FQHC) organization in Ardmore, Oklahoma. Organization record, active in the CMS NPPES registry since August 11, 2015.
## Identity
- **NPI:** 1285010413 (Entity type: Organization)
- **Enumerated:** August 11, 2015
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Teresa Myers, CEO
## Practice location
- **Address:** 20 12TH AVE NW, Ardmore, OK 73401-5722
- **Phone:** (580) 223-3411 · **Fax:** (580) 223-6614
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Part A, Oklahoma, Federally Qualified Health Center (FQHC)) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 21 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (12), Family Practice (5), Clinical Social Worker (1); 2 practice at this address and 16 within 10 miles; [full list](https://npiprofile.com/npi/1285010413/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 22, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1285010413) · Data from the CMS NPPES public registry.