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
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, GAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 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.
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
## Record status
- **NPPES last updated:** January 18, 2024
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1285277566) · Data from the CMS NPPES public registry.