GPHA SOUTHEAST HEALTH CENTER
NPI 1417902362
Clinic/Center - Federally Qualified Health Center (FQHC) in Philadelphia, PA
About Gpha Southeast Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GPHA SOUTHEAST HEALTH CENTER (NPI 1417902362) is a healthcare organization registered as a federally qualified health center (fqhc) in Philadelphia, Pennsylvania and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through August 7, 2028 and lists D Tina Smith, Provider Enrollment Spec, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 8
Other Names 1
Other Identifiers 2
Group Practice 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)
Gpha Southeast Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
230Medicare enrollment records show 230 clinicians reassign Medicare billing to Gpha Southeast Health Center, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 157 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 19
Nearest to this location (20)
See all 230Source: 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) 39D2116989
Gpha Southeast Health Center · Philadelphia, PAFrequently 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 Greater Philadelphia Health Action Inc.'s NPI number?
The NPI number for Greater Philadelphia Health Action Inc. is 1417902362. It was assigned to this organization in the NPPES registry on May 22, 2006. The provider is doing business as Gpha Southeast Health Center.
Where is Greater Philadelphia Health Action Inc. located?
Greater Philadelphia Health Action Inc. is located at 800 Washington Ave, Philadelphia, PA 19147. The listed phone number is (215) 339-5100.
What is Greater Philadelphia Health Action Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Greater Philadelphia Health Action Inc. enrolled in Medicare?
Yes. Greater Philadelphia Health Action Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Greater Philadelphia Health Action Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 230 clinicians in 19 Medicare specialties reassign their Medicare billing to Greater Philadelphia Health Action 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 (64), Mental Health Counselor (32) and Family Practice (28). Of these, 6 practice at this address and 157 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Greater Philadelphia Health Action Inc. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 39D2116989) is associated with this NPI, valid through August 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Greater Philadelphia Health Action Inc. accept?
Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Greater Philadelphia Health Action 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 Greater Philadelphia Health Action Inc. was last updated on March 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Gpha Southeast Health Center · NPI 1417902362
Federally Qualified Health Center (FQHC) organization in Philadelphia, Pennsylvania. Organization record, active in the CMS NPPES registry since May 22, 2006.
## Identity
- **NPI:** 1417902362 (Entity type: Organization)
- **Enumerated:** May 22, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Greater Philadelphia Health Action Inc.
- **Organization subpart:** No
- **Authorized official:** D Smith, PROVIDER ENROLLMENT SPEC
## Practice location
- **Address:** 800 WASHINGTON AVE, Philadelphia, PA 19147-4717
- **Phone:** (215) 339-5100 · **Fax:** (215) 454-6814
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 230 clinicians in 19 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (64), Mental Health Counselor (32), Family Practice (28); 6 practice at this address and 157 within 10 miles; [full list](https://npiprofile.com/npi/1417902362/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 16, 2017
- **Other identifiers:** Medicare ID-Type Unspecified 391801 (PA); Medicaid 1001374480051 (PA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417902362) · Data from the CMS NPPES public registry.