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: August 16, 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

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.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
304 N WESTBERRY ST
SYLVESTER, GA 31791
Nurse Practitioner (Family)
304 N WESTBERRY ST
SYLVESTER, GA 31791
Nurse Practitioner (Family)
304 N WESTBERRY ST
SYLVESTER, GA 31791
Nurse Practitioner (Family)
304 N WESTBERRY ST
SYLVESTER, GA 31791
Nurse Practitioner (Family)
304 N WESTBERRY ST
SYLVESTER, GA 31791
Chiropractor
304 N WESTBERRY ST
SYLVESTER, GA 31791

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.

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 4 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.