PHOEBE SUMTER ELLAVILLE CLINIC
NPI 1376778001
Clinic/Center - Rural Health in Ellaville, GA
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
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)
Phoebe Sumter Ellaville Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
106Medicare enrollment records show 106 clinicians reassign Medicare billing to Phoebe Sumter Ellaville Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 106Source: 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 for Provider-Performed Microscopy Procedures (PPMP) 11D0886090
Phoebe Sumter Medical Center Dba Phoebe Sumter Ellaville Clinic · Ellaville, GAFrequently 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.
Is Phoebe Sumter Medical Center, Inc enrolled in Medicare?
Yes. Phoebe Sumter Medical Center, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Phoebe Sumter Medical Center, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 106 clinicians in 7 Medicare specialties reassign their Medicare billing to Phoebe Sumter Medical Center, Inc. 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 Nurse Practitioner (42), Emergency Medicine (34) and Family Practice (16). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Phoebe Sumter Ellaville Clinic · NPI 1376778001
Rural Health organization in Ellaville, Georgia. Organization record, active in the CMS NPPES registry since May 26, 2009.
## Identity
- **NPI:** 1376778001 (Entity type: Organization)
- **Enumerated:** May 26, 2009
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Phoebe Sumter Medical Center, Inc
- **Organization subpart:** Yes (part of Phoebe Sumter Medical Center, Inc)
- **Authorized official:** Brandi Lunneborg, CEO
## Practice location
- **Address:** 339 S BROAD ST, Ellaville, GA 31806-3304
- **Phone:** (229) 937-5321 · **Fax:** (229) 937-2232
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 106 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (42), Emergency Medicine (34), Family Practice (16); 1 practice at this address and 2 within 10 miles; [full list](https://npiprofile.com/npi/1376778001/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 14, 2018
- **Other identifiers:** Medicaid 003112355A (GA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1376778001) · Data from the CMS NPPES public registry.