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SOVEREIGN FAMILY PRACTICE CLINIC
NPI 1538450689
Clinic/Center in Ada, OK

Active since April 25, 2011
1007 N COUNTRY CLUB RD, ADA, OK 74820(580) 421-8700(580) 421-8785 Get Directions Write a Review

NPPES record last updated: June 18, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sovereign Family Practice Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOVEREIGN FAMILY PRACTICE CLINIC (NPI 1538450689) is a healthcare organization registered as a clinic/center in Ada, Oklahoma and active in the NPI registry since April 2011. The organization lists Chris M Anoatubby, President, Sovereign, as its authorized official.

NPPES Registry Identity

NPI1538450689
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOVEREIGN FAMILY CLINIC, LLC
Location Address1007 N COUNTRY CLUB RDAda, OK 74820-2847
Mailing Address1007 N Country Club RdAda, OK 74820-2847 · (580) 421-8700 · Fax (580) 421-8785
Phone(580) 421-8700
Fax(580) 421-8785
Organization SubpartNo
Authorized OfficialChris M AnoatubbyPresident, Sovereign · (580) 272-5160
Enumeration DateApril 25, 2011
Last NPPES UpdateJune 18, 2015
✔ NPI 1538450689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1007 N COUNTRY CLUB RD, Ada, OK 74820
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Other Names 1

Doing Business AsSovereign Family Practice Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CY CALLAN FREEMAN
Nurse Practitioner (Family)
1007 N COUNTRY CLUB RD
ADA, OK 74820
Pontotoc County (580) 421-8700
CLAUDETTE G. WILSON APRN NP-C
Nurse Practitioner (Family)
1007 N COUNTRY CLUB RD
ADA, OK 74820
Pontotoc County (580) 421-8700
AMANDA M DEL BOSQUE NP
Nurse Practitioner (Family)
1007 N COUNTRY CLUB RD
ADA, OK 74820
Pontotoc County (580) 310-9510
MARCUS SHANE WAHL APRN
Nurse Practitioner (Family)
1007 N COUNTRY CLUB RD
ADA, OK 74820
Pontotoc County (580) 421-8700
LISA YOUNG NP-C
Nurse Practitioner (Family)
1007 N COUNTRY CLUB RD
ADA, OK 74820
Pontotoc County (580) 421-8700
GINA DANIELLE GARRETT DPH
Pharmacist
1007 N COUNTRY CLUB RD
ADA, OK 74820
Pontotoc County (580) 421-8775
LISA FILLMORE
Pharmacist
1007 N COUNTRY CLUB RD
ADA, OK 74820
Pontotoc County (580) 421-6260
THE CHICKASAW NATION EMPLOYEE CLINIC PHARMACY- ADA
Pharmacy (Community/Retail Pharmacy)
1007 N COUNTRY CLUB RD
ADA, OK 74820
Pontotoc County (580) 421-8775

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 Sovereign Family Clinic, LLC's NPI number?

The NPI number for Sovereign Family Clinic, LLC is 1538450689. It was assigned to this organization in the NPPES registry on April 25, 2011. The provider is doing business as Sovereign Family Practice Clinic.

Where is Sovereign Family Clinic, LLC located?

Sovereign Family Clinic, LLC is located at 1007 N Country Club Rd, Ada, OK 74820. The listed phone number is (580) 421-8700.

What is Sovereign Family Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Sovereign Family Clinic, LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Sovereign Family Clinic, LLC 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 Sovereign Family Clinic, LLC was last updated on June 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.