VILLAGE CLINIC LLC
NPI 1386521607
Clinic/Center - Primary Care in Sedona, AZ
About Village Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VILLAGE CLINIC LLC (NPI 1386521607) is a healthcare organization registered as a primary care in Sedona, Arizona and active in the NPI registry since August 2025. The organization holds 2 active CLIA laboratory certificates and lists Cory Davidson, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Village Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Village Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 2
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 03D2335092
Village Clinic · Sedona, AZCertificate of Waiver 03D2335100
Village Clinic 2 · Sedona, 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 Village Clinic LLC's NPI number?
The NPI number for Village Clinic LLC is 1386521607. It was assigned to this organization in the NPPES registry on August 19, 2025.
Where is Village Clinic LLC located?
Village Clinic LLC is located at 56 W Cortez Dr, Sedona, AZ 86351. The listed phone number is (928) 713-3482.
What is Village Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Village Clinic LLC enrolled in Medicare?
Yes. Village Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Village Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Village Clinic 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Village Clinic LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Village Clinic LLC was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Village Clinic Llc · NPI 1386521607
Primary Care organization in Sedona, Arizona. Organization record, active in the CMS NPPES registry since August 19, 2025.
## Identity
- **NPI:** 1386521607 (Entity type: Organization)
- **Enumerated:** August 19, 2025
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Cory Davidson, CEO
## Practice location
- **Address:** 56 W CORTEZ DR, Sedona, AZ 86351-9087
- **Phone:** (928) 713-3482
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 28, 2025
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1386521607) · Data from the CMS NPPES public registry.