MOBILE HEALTHCARE PROVIDERS, LLC
NPI 1528752383
Clinic/Center - Community Health in Atlanta, GA
About Mobile Healthcare Providers, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOBILE HEALTHCARE PROVIDERS, LLC (NPI 1528752383) is a healthcare organization registered as a community health in Atlanta, Georgia and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through November 1, 2027 and lists Stacey Lizette Simmons, Fnp/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mobile Healthcare Providers, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mobile Healthcare Providers, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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
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 11D2293004
Mobile Healthcare Providers, LLC · Tucker, 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 Mobile Healthcare Providers, LLC's NPI number?
The NPI number for Mobile Healthcare Providers, LLC is 1528752383. It was assigned to this organization in the NPPES registry on June 5, 2023.
Where is Mobile Healthcare Providers, LLC located?
Mobile Healthcare Providers, LLC is located at 3788 Oxford Cir, Atlanta, GA 30340. The listed phone number is (716) 472-5201.
What is Mobile Healthcare Providers, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.
Is Mobile Healthcare Providers, LLC enrolled in Medicare?
Yes. Mobile Healthcare Providers, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mobile Healthcare Providers, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mobile Healthcare Providers, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mobile Healthcare Providers, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2293004) is associated with this NPI, valid through November 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Mobile Healthcare Providers, LLC was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mobile Healthcare Providers, Llc · NPI 1528752383
Community Health organization in Atlanta, Georgia. Organization record, active in the CMS NPPES registry since June 5, 2023.
## Identity
- **NPI:** 1528752383 (Entity type: Organization)
- **Enumerated:** June 5, 2023
- **Primary specialty:** Clinic/Center - Community Health · taxonomy 261QC1500X
- **Organization subpart:** No
- **Authorized official:** Stacey Simmons, FNP/OWNER
## Practice location
- **Address:** 3788 OXFORD CIR, Atlanta, GA 30340-7700
- **Phone:** (716) 472-5201
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 5, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1528752383) · Data from the CMS NPPES public registry.