PHOENIX CLINIC AND AFTERHOUR CARE
NPI 1720569403
Family Medicine in Snellville, GA

Active since August 22, 2018CLIA 11D2213906 · Waiver
2795 MAIN ST W # 21, SNELLVILLE, GA 30078(678) 386-2929 Get Directions Write a Review

NPPES record last updated: August 22, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phoenix Clinic And Afterhour Care NPPES

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

PHOENIX CLINIC AND AFTERHOUR CARE (NPI 1720569403) is a healthcare organization registered as a family medicine in Snellville, Georgia and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through February 16, 2027 and lists Marie Lightbourne, Owner, as its authorized official.

NPPES Registry Identity

NPI1720569403
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHOENIX CLINIC AND AFTERHOUR CARE
Location Address2795 MAIN ST W # 21Snellville, GA 30078-3164
Mailing Address5858 Silver Ridge DrStone Mountain, GA 30087-2322 · (678) 386-2929
Organization SubpartNo
Authorized OfficialMarie LightbourneOwner · (678) 386-2929
Enumeration DateAugust 22, 2018
NPI 1720569403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 060359
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.
2795 MAIN ST W # 21, Snellville, GA 30078

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 11D2213906

Phoenix Clinic And After Hour Care · Snellville, GA
Active · expires Feb 16, 2027
CLIA Number11D2213906
Laboratory TypePhysician Office
Certificate Effective DateFebruary 17, 2025
Certificate Expiration DateFebruary 16, 2027
Laboratory DirectorMarie Lightbourne
Laboratory Phone(678) 386-2929
Laboratory LocationPhoenix Clinic And After Hour Care2795 Main Street West, Suite A, Snellville, GA 30078
CLIA data matches this NPI record on: 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 Phoenix Clinic And Afterhour Care's NPI number?

The NPI number for Phoenix Clinic And Afterhour Care is 1720569403. It was assigned to this organization in the NPPES registry on August 22, 2018.

Where is Phoenix Clinic And Afterhour Care located?

Phoenix Clinic And Afterhour Care is located at 2795 Main St W # 21, Snellville, GA 30078. The listed phone number is (678) 386-2929.

What is Phoenix Clinic And Afterhour Care's specialty?

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

Does Phoenix Clinic And Afterhour Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2213906) is associated with this NPI, valid through February 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Phoenix Clinic And Afterhour Care accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Phoenix Clinic And Afterhour Care 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 Phoenix Clinic And Afterhour Care was last updated on August 22, 2018. 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.