CAVE CREEK CLINIC, LLC
NPI 1578028684
Family Medicine in Phoenix, AZ

Active since February 02, 2019
2920 E MOHAWK LN STE 101, PHOENIX, AZ 85050(480) 401-1555(800) 930-4408 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2019, Feb 2, 2019 (2 updates tracked since 2019).

About Cave Creek Clinic, Llc NPPES

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

CAVE CREEK CLINIC, LLC (NPI 1578028684) is a healthcare organization registered as a family medicine in Phoenix, Arizona and active in the NPI registry since February 2019. The organization lists John Sherman Gilliam, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1578028684
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCAVE CREEK CLINIC, LLC
Location Address2920 E MOHAWK LN STE 101Phoenix, AZ 85050-4773
Mailing Address15029 N Thompson Peak Pkwy # B111-438Scottsdale, AZ 85260-2217 · (480) 401-1555 · Fax (800) 930-4408
Fax(800) 930-4408
Organization SubpartNo
Authorized OfficialJohn Sherman GilliamMedical Director · (480) 401-1555
Enumeration DateFebruary 2, 2019
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
NPI 1578028684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
2920 E MOHAWK LN STE 101, Phoenix, AZ 85050

Other Identifiers 2

Medicaid600874AZ
Medicaid388615AZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Family Medicine
2920 E MOHAWK LN STE 101
PHOENIX, AZ 85050

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 Cave Creek Clinic, LLC's NPI number?

The NPI number for Cave Creek Clinic, LLC is 1578028684. It was assigned to this organization in the NPPES registry on February 2, 2019.

Where is Cave Creek Clinic, LLC located?

Cave Creek Clinic, LLC is located at 2920 E Mohawk Ln Ste 101, Phoenix, AZ 85050. The listed phone number is (480) 401-1555.

What is Cave Creek Clinic, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Cave Creek Clinic, LLC was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.