MOBILE HEALTHCARE PROVIDERS, LLC
NPI 1528752383
Clinic/Center - Community Health in Atlanta, GA

Active since June 05, 2023CLIA 11D2293004 · Waiver
3788 OXFORD CIR, ATLANTA, GA 30340(716) 472-5201 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1528752383
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameMOBILE HEALTHCARE PROVIDERS, LLC
Location Address3788 OXFORD CIRAtlanta, GA 30340-7700
Mailing Address3788 Oxford CirAtlanta, GA 30340-7700 · (716) 472-5201
Organization SubpartNo
Authorized OfficialStacey Lizette SimmonsFnp/owner · (716) 472-5207
Enumeration DateJune 5, 2023
NPPES CertifiedJune 5, 2023
NPI 1528752383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
3788 OXFORD CIR, Atlanta, GA 30340

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, GA
Active · expires Nov 1, 2027
CLIA Number11D2293004
Laboratory TypePractitioner Other
Certificate Effective DateNovember 2, 2025
Certificate Expiration DateNovember 1, 2027
Laboratory DirectorStacey L. Simmons
Laboratory Phone(716) 472-5201
Laboratory LocationMobile Healthcare Providers, LLC2256 Northlake Parkway #210, Tucker, GA 30084
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 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.

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.