ACCESS MEDICAL CLINIC GEORGIA LLC
NPI 1639774714
Clinic/Center - Rural Health in Sylvester, GA

Active since December 04, 2020CLIA 11D2204861 · Waiver
304 N WESTBERRY ST, SYLVESTER, GA 31791(229) 463-7071(833) 606-0577 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 6, 2021, Feb 18, 2021, Dec 4, 2020 (3 updates tracked since 2020).

About Access Medical Clinic Georgia Llc NPPES

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

ACCESS MEDICAL CLINIC GEORGIA LLC (NPI 1639774714) is a healthcare organization registered as a rural health in Sylvester, Georgia and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through December 9, 2026 and lists Monya York, Comptroller, as its authorized official.

NPPES Registry Identity

NPI1639774714
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameACCESS MEDICAL CLINIC GEORGIA LLC
Location Address304 N WESTBERRY STSylvester, GA 31791-2125
Mailing Address4196 Highway 62 412 Ste AHardy, AR 72542-8002
Fax(833) 606-0577
Organization SubpartNo
Authorized OfficialMonya YorkComptroller · (870) 856-1202
Enumeration DateDecember 4, 2020
Last NPPES UpdateOctober 6, 20213 updates tracked since enumeration
NPPES CertifiedOctober 6, 2021
✔ NPI 1639774714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
304 N WESTBERRY ST, Sylvester, GA 31791

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

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)

Access Medical Clinic Georgia Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Access Medical Clinic Georgia LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner14
Family Practice2
Internal Medicine1

Clinicians, nearest first (17)

Nurse Practitioner
NPI 1760053144
304 N WESTBERRY ST
Sylvester, GA 31791
(229) 463-7071
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1730984931
304 N WESTBERRY ST
Sylvester, GA 31791
(229) 463-7071
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1487160362
304 N WESTBERRY ST
Sylvester, GA 31791
(229) 463-7071
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1720683055
711 E 16TH AVE
Cordele, GA 31015
(229) 271-9330
✔ PECOS✔ Accepts Medicare30 mi
Nurse Practitioner
NPI 1609519586
37 341 BYP
Hawkinsville, GA 31036
(478) 845-4842
✔ PECOS✔ Accepts Medicare55 mi
Internal Medicine
NPI 1912951500
1115 MORNINGSIDE DR
Perry, GA 31069
(478) 988-3060
✔ PECOS✔ Accepts Medicare64 mi
Nurse Practitioner
NPI 1174003917
1815 RHODA ST
Waycross, GA 31503
(912) 288-7767
✔ PECOS✔ Accepts Medicare90 mi
Nurse Practitioner
NPI 1861091340
3020 JEFFERSONVILLE RD
Macon, GA 31217
(229) 463-7081
✔ PECOS✔ Accepts Medicare92 mi
Family Practice
NPI 1215911102
2192 INGLESIDE AVE
Macon, GA 31204
(478) 745-9880
✔ PECOS✔ Accepts Medicare92 mi
Nurse Practitioner
NPI 1417412032
4660 RIVERSIDE PARK BLVD
Macon, GA 31210
(478) 474-2114
✔ PECOS✔ Accepts Medicare96 mi
Nurse Practitioner
NPI 1982336533
140 MARTIN PALMER DR
Brunswick, GA 31523
(912) 567-6660
✔ PECOS✔ Accepts Medicare135 mi
Nurse Practitioner
NPI 1932943313
97 SPYGLASS
Kingsland, GA 31548
(912) 552-1266
✔ PECOS✔ Accepts Medicare140 mi
Nurse Practitioner
NPI 1285279737
2782 N COBB PKWY
Kennesaw, GA 30152
(866) 389-2727
✔ PECOS178 mi
Nurse Practitioner
NPI 1053017442
2818 NEUSE BLVD
New Bern, NC 28562
(252) 636-4920
✔ PECOS✔ Accepts Medicare462 mi
Family Practice
NPI 1609895911
104 WEST STATE ST
Caraway, AR 72419
(870) 956-0200
✔ PECOS✔ Accepts Medicare474 mi
Nurse Practitioner
NPI 1639799240
1996 HIGHWAY 31 N
Beebe, AR 72012
(501) 605-7737
✔ PECOS✔ Accepts Medicare530 mi
Nurse Practitioner
NPI 1881285336
925 N LINCOLN ST APT 15A
Denver, CO 80203
(720) 500-5488
✔ PECOS1,314 mi

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 11D2204861

Access Medical Clinic Georgia LLC · Sylvester, GA
Active · expires Dec 9, 2026
CLIA Number11D2204861
Laboratory TypePhysician Office
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorMark S. Hahn
Laboratory Phone(229) 463-7071
Laboratory LocationAccess Medical Clinic Georgia LLC304 North Westberry Street, Sylvester, GA 31791
CLIA data matches this NPI record on: Address 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 Access Medical Clinic Georgia LLC's NPI number?

The NPI number for Access Medical Clinic Georgia LLC is 1639774714. It was assigned to this organization in the NPPES registry on December 4, 2020.

Where is Access Medical Clinic Georgia LLC located?

Access Medical Clinic Georgia LLC is located at 304 N Westberry St, Sylvester, GA 31791. The listed phone number is (229) 463-7071.

What is Access Medical Clinic Georgia LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Access Medical Clinic Georgia LLC enrolled in Medicare?

Yes. Access Medical Clinic Georgia LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Access Medical Clinic Georgia LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 3 Medicare specialties reassign their Medicare billing to Access Medical Clinic Georgia 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. The largest specialties are Nurse Practitioner (14), Family Practice (2) and Internal Medicine (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Access Medical Clinic Georgia LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2204861) is associated with this NPI, valid through December 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Access Medical Clinic Georgia LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Access Medical Clinic Georgia 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 Access Medical Clinic Georgia LLC was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.