COWETA MEDICAL GROUP,P.L.L.C.
NPI 1316183536
Clinic/Center - Primary Care in Coweta, OK

Active since December 17, 2008CLIA 37D1097372 · Waiver
28622 E 141ST ST SO., COWETA, OK 74429(918) 486-7425 Get Directions Write a Review

NPPES record last updated: January 7, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Coweta Medical Group,p.l.l.c. NPPES

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

COWETA MEDICAL GROUP,P.L.L.C. (NPI 1316183536) is a healthcare organization registered as a primary care in Coweta, Oklahoma and active in the NPI registry since December 2008. The organization holds a CLIA Waiver certificate valid through March 24, 2027 and lists Jeff Barentine, Owner, as its authorized official.

NPPES Registry Identity

NPI1316183536
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCOWETA MEDICAL GROUP,P.L.L.C.
Location Address28622 E 141ST ST SO.Coweta, OK 74429
Mailing AddressPo Box 1030, 28622 E 141st St So.Coweta, OK 74429 · (918) 486-7425
Organization SubpartNo
Authorized OfficialJeff BarentineOwner · (918) 486-7425
Enumeration DateDecember 17, 2008
Last NPPES UpdateJanuary 7, 2009
✔ NPI 1316183536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
28622 E 141ST ST SO., Coweta, OK 74429

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coweta Medical Group,p.l.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Coweta Medical Group,p.L.L.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Family Practice
NPI 1023058757
28622 E 141ST ST S
Coweta, OK 74429
(918) 486-7425
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1861718876
1317 S DEWEY AVE
Wagoner, OK 74467
(918) 485-9696
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1285292003
1919 S WHEELING AVE STE 200
Tulsa, OK 74104
(918) 748-7600
✔ PECOS✔ Accepts Medicare21 mi

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 37D1097372

Coweta Medical Group · Coweta, OK
Active · expires Mar 24, 2027
CLIA Number37D1097372
Laboratory TypePhysician Office
Certificate Effective DateMarch 25, 2025
Certificate Expiration DateMarch 24, 2027
Laboratory DirectorBradley T. Anderson, Do
Laboratory Phone(918) 486-7425
Laboratory LocationCoweta Medical Group28622 E 141st Street South, Coweta, OK 74429
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Coweta Medical Group,p.L.L.C.'s NPI number?

The NPI number for Coweta Medical Group,p.L.L.C. is 1316183536. It was assigned to this organization in the NPPES registry on December 17, 2008.

Where is Coweta Medical Group,p.L.L.C. located?

Coweta Medical Group,p.L.L.C. is located at 28622 E 141st St So., Coweta, OK 74429. The listed phone number is (918) 486-7425.

What is Coweta Medical Group,p.L.L.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Coweta Medical Group,p.L.L.C. enrolled in Medicare?

Yes. Coweta Medical Group,p.L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coweta Medical Group,p.L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Coweta Medical Group,p.L.L.C., in Family Practice and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Coweta Medical Group,p.L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D1097372) is associated with this NPI, valid through March 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coweta Medical Group,p.L.L.C. accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Coweta Medical Group,p.L.L.C. 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 Coweta Medical Group,p.L.L.C. was last updated on January 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.