PHOENIX CLINIC AND AFTERHOUR CARE
NPI 1720569403
Family Medicine in Snellville, GA
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
Specialties & Licenses
Group Practice 1
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)
Phoenix Clinic And Afterhour Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Phoenix Clinic And Afterhour Care, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 11D2213906
Phoenix Clinic And After Hour Care · Snellville, GAFrequently 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.
Is Phoenix Clinic And Afterhour Care enrolled in Medicare?
Yes. Phoenix Clinic And Afterhour Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Phoenix Clinic And Afterhour Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Phoenix Clinic And Afterhour Care. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 8 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.
# Phoenix Clinic And Afterhour Care · NPI 1720569403
Family Medicine organization in Snellville, Georgia. Organization record, active in the CMS NPPES registry since August 22, 2018.
## Identity
- **NPI:** 1720569403 (Entity type: Organization)
- **Enumerated:** August 22, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Marie Lightbourne, OWNER
## Practice location
- **Address:** 2795 MAIN ST W # 21, Snellville, GA 30078-3164
- **Phone:** (678) 386-2929
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720569403) · Data from the CMS NPPES public registry.