SIERRA VISTA MEDICAL GROUP INTERNAL MEDICINE
NPI 1336910488
Clinic/Center - Rural Health in Sierra Vista, AZ

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

Active since January 09, 2024CLIA Certified · 2 labs

5750 E HIGHWAY 90 STE 200, SIERRA VISTA, AZ 85635(520) 263-3762 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Rural Health
CLIA Number: 03D2222004
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 04-25-2027

About SIERRA VISTA MEDICAL GROUP INTERNAL MEDICINE

This page provides the complete NPI Profile along with additional information for Sierra Vista Medical Group Internal Medicine, a primary care provider established in Sierra Vista, Arizona operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1336910488 assigned on January 2024. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Sierra Vista Medical Group Internal Medicine. The authorized official of this NPI record is Charlotte Lawrence (Secretary)

NPI: 1336910488 Verify this NPI
Provider Legal Name: SIERRA VISTA REGIONAL HEALTH CENTER MEDICAL GROUP LLC
Other Organization Name: SIERRA VISTA MEDICAL GROUP INTERNAL MEDICINE
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 5750 E HIGHWAY 90 STE 200 SIERRA VISTA, AZ 85635
Location Phone: (520) 263-3762
Mailing Address: 330 SEVEN SPRINGS WAY BRENTWOOD, TN 37027
Mailing Phone: (615) 920-7000
Mailing Fax: (615) 920-8775
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 01-09-2024
Last Update Date: 09-26-2024
Code Navigator

A primary care provider (PCP) like Sierra Vista Medical Group Internal Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Rural Health
Taxonomy Code: 261QR1300X
Type: Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: CHARLOTTE LAWRENCE
Authorized Official Title: SECRETARY
Authorized Official Phone: (615) 920-7000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 03D2222004
Facility Type: Physician Office
Certificate Effective Date: April 26, 2025
Certificate Expiration Date: April 25, 2027
Laboratory Director: JOSE CLIFTON
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Sierra Vista Medical Group Internal Medicine to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.