PIONEER COMMUNITY CARE
NPI 1285277566
Clinic/Center - Primary Care in Athens, GA
About Pioneer Community Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PIONEER COMMUNITY CARE (NPI 1285277566) is a healthcare organization registered as a primary care in Athens, Georgia and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through January 29, 2028 and lists Aynaddis Fekadu, Aprn, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pioneer Community Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Pioneer Community Care, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 11D2178267
Pioneer Community Care LLC · Athens, 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 Pioneer Community Care LLC's NPI number?
The NPI number for Pioneer Community Care LLC is 1285277566. It was assigned to this organization in the NPPES registry on October 19, 2019. The provider is also known as Pioneer Community Care.
Where is Pioneer Community Care LLC located?
Pioneer Community Care LLC is located at 740 Prince Ave Ste 8B, Athens, GA 30606. The listed phone number is (706) 389-5513.
What is Pioneer Community Care LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Pioneer Community Care LLC enrolled in Medicare?
Yes. Pioneer Community Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pioneer Community Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Pioneer Community Care 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pioneer Community Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2178267) is associated with this NPI, valid through January 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Pioneer Community Care LLC was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Pioneer Community Care · NPI 1285277566
Primary Care organization in Athens, Georgia. Organization record, active in the CMS NPPES registry since October 19, 2019.
## Identity
- **NPI:** 1285277566 (Entity type: Organization)
- **Enumerated:** October 19, 2019
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Pioneer Community Care Llc
- **Organization subpart:** No
- **Authorized official:** Aynaddis Fekadu, APRN
## Practice location
- **Address:** 740 PRINCE AVE STE 8B, Athens, GA 30606-5903
- **Phone:** (706) 389-5513
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 18, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1285277566) · Data from the CMS NPPES public registry.