GAVILAN PEAK FAMILY PRACTICE
NPI 1336132208
Family Medicine in Anthem, AZ
About Gavilan Peak Family Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GAVILAN PEAK FAMILY PRACTICE (NPI 1336132208) is a healthcare organization registered as a family medicine in Anthem, Arizona and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through September 18, 2027 and lists Savas Petrides, Svp/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Group Practice 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)
Gavilan Peak Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
499Medicare enrollment records show 499 clinicians reassign Medicare billing to Gavilan Peak Family Practice, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 27
Nearest to this location (20)
See all 499Source: 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 03D1017232
Honorhealth Medical Group And Urgent Care Gavilan Peak · Anthem, AZFrequently 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 Honorhealth Medical Group, LLC's NPI number?
The NPI number for Honorhealth Medical Group, LLC is 1336132208. It was assigned to this organization in the NPPES registry on August 25, 2005. The provider is doing business as Gavilan Peak Family Practice. The provider was formerly known as John C. Lincoln, LLC.
Where is Honorhealth Medical Group, LLC located?
Honorhealth Medical Group, LLC is located at 3648 W Anthem Way A100, Anthem, AZ 85086. The listed phone number is (623) 434-6444.
What is Honorhealth Medical Group, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Honorhealth Medical Group, LLC enrolled in Medicare?
Yes. Honorhealth Medical Group, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Honorhealth Medical Group, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 499 clinicians in 27 Medicare specialties reassign their Medicare billing to Honorhealth Medical Group, 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. The largest specialties are Family Practice (257), Nurse Practitioner (108) and Internal Medicine (85). Of these, 10 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Honorhealth Medical Group, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D1017232) is associated with this NPI, valid through September 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Honorhealth Medical Group, LLC was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Gavilan Peak Family Practice · NPI 1336132208
Family Medicine organization in Anthem, Arizona. Organization record, active in the CMS NPPES registry since August 25, 2005.
## Identity
- **NPI:** 1336132208 (Entity type: Organization)
- **Enumerated:** August 25, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Honorhealth Medical Group, Llc
- **Also known as:** John C. Lincoln, LLC (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Savas Petrides, SVP/CEO
## Practice location
- **Address:** 3648 W ANTHEM WAY, A100, Anthem, AZ 85086-7001
- **Phone:** (623) 434-6444 · **Fax:** (623) 434-6448
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 499 clinicians in 27 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (257), Nurse Practitioner (108), Internal Medicine (85); 10 practice at this address and 18 within 10 miles; [full list](https://npiprofile.com/npi/1336132208/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 17, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1336132208) · Data from the CMS NPPES public registry.