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PHOEBE SUMTER ELLAVILLE CLINIC
NPI 1376778001
Clinic/Center - Rural Health in Ellaville, GA

Active since May 26, 2009CLIA 11D0886090 · Microscopy
339 S BROAD ST, ELLAVILLE, GA 31806(229) 937-5321(229) 937-2232 Get Directions Write a Review

NPPES record last updated: February 14, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phoebe Sumter Ellaville Clinic NPPES

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

PHOEBE SUMTER ELLAVILLE CLINIC (NPI 1376778001) is a healthcare organization registered as a rural health in Ellaville, Georgia and active in the NPI registry since May 2009. The organization holds a CLIA Microscopy certificate valid through July 26, 2027 and lists Brandi Lunneborg, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376778001
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePHOEBE SUMTER MEDICAL CENTER, INC
Location Address339 S BROAD STEllaville, GA 31806-3304
Mailing AddressPo Box 65Ellaville, GA 31806-9228 · (229) 937-5321 · Fax (229) 934-2232
Phone(229) 937-5321
Fax(229) 937-2232
Organization SubpartYes
Authorized OfficialBrandi LunneborgCeo · (229) 931-1191
Enumeration DateMay 26, 2009
Last NPPES UpdateFebruary 14, 2018
✔ NPI 1376778001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
339 S BROAD ST, Ellaville, GA 31806
Open in Google Maps ↗

Other Names 1

Doing Business AsPhoebe Sumter Ellaville Clinic

Other Identifiers 1

Medicaid003112355AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 11D0886090

Phoebe Sumter Medical Center Dba Phoebe Sumter Ellaville Clinic · Ellaville, GA
Active · expires Jul 26, 2027
CLIA Number11D0886090
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 27, 2025
Certificate Expiration DateJuly 26, 2027
Laboratory DirectorBennie Bret Law
Laboratory Phone(229) 937-5321
Laboratory LocationPhoebe Sumter Medical Center Dba Phoebe Sumter Ellaville Clinic339 South Broad Street, Ellaville, GA 31806
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH KATE ALBRITTON FNP-C
Nurse Practitioner (Family)
339 S BROAD ST
ELLAVILLE, GA 31806
Schley County (229) 391-8680
MRS. ANGELITA REYES QUIROZ NP-C
Nurse Practitioner
339 S BROAD ST
ELLAVILLE, GA 31806
Schley County (229) 931-8680

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 Phoebe Sumter Medical Center, Inc's NPI number?

The NPI number for Phoebe Sumter Medical Center, Inc is 1376778001. It was assigned to this organization in the NPPES registry on May 26, 2009. The provider is doing business as Phoebe Sumter Ellaville Clinic.

Where is Phoebe Sumter Medical Center, Inc located?

Phoebe Sumter Medical Center, Inc is located at 339 S Broad St, Ellaville, GA 31806. The listed phone number is (229) 937-5321.

What is Phoebe Sumter Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Phoebe Sumter Medical Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0886090) is associated with this NPI, valid through July 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Phoebe Sumter Medical Center, Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Phoebe Sumter Medical Center, Inc 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 Phoebe Sumter Medical Center, Inc was last updated on February 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.