MY FAMILY CLINIC LLC
NPI 1730565912
Family Medicine in Oklahoma City, OK

Active since August 10, 2015CLIA 37D2104922 · Waiver
3717 S WESTERN AVE, OKLAHOMA CITY, OK 73109(678) 294-9938 Get Directions Write a Review

NPPES record last updated: August 11, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About My Family Clinic Llc NPPES

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

MY FAMILY CLINIC LLC (NPI 1730565912) is a healthcare organization registered as a family medicine in Oklahoma City, Oklahoma and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through November 15, 2027 and lists Andrew T. Billingsley, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1730565912
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMY FAMILY CLINIC LLC
Location Address3717 S WESTERN AVEOklahoma City, OK 73109-3401
Mailing AddressPo Box 18228Oklahoma City, OK 73154-0228 · (678) 294-9938
Organization SubpartNo
Authorized OfficialAndrew T. BillingsleyMedical Director · (704) 456-5557
Enumeration DateAugust 10, 2015
Last NPPES UpdateAugust 11, 2015
✔ NPI 1730565912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 31108
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.
3717 S WESTERN AVE, Oklahoma City, OK 73109

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

My Family Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to My Family Clinic LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Family Practice
NPI 1649200361
3851 TINKER DIAGONAL
Del City, OK 73115
(405) 632-6688
✔ PECOS✔ Accepts Medicare5.0 mi
Nurse Practitioner
NPI 1033148697
1918 NE 23RD ST
Oklahoma City, OK 73111
(405) 453-8000
✔ PECOS✔ Accepts Medicare5.4 mi
Nurse Practitioner
NPI 1609281658
13316 S WESTERN AVE STE M
Moore, OK 73170
(405) 495-5154
✔ PECOS✔ Accepts Medicare6.3 mi
Nurse Practitioner
NPI 1497164396
6951 SE 15TH ST
Midwest City, OK 73110
(405) 233-0450
✔ PECOS7.2 mi
Nurse Practitioner
NPI 1730259219
1139 36TH AVE NW SUITE 100
Norman, OK 73072
(405) 217-9997
✔ PECOS✔ Accepts Medicare14 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 37D2104922

My Family Clinic · Oklahoma City, OK
Active · expires Nov 15, 2027
CLIA Number37D2104922
Laboratory TypePhysician Office
Certificate Effective DateNovember 16, 2025
Certificate Expiration DateNovember 15, 2027
Laboratory DirectorRenee Roy
Laboratory Phone(405) 601-6000
Laboratory LocationMy Family Clinic3717 S Western, Oklahoma City, OK 73109
CLIA data matches this NPI record on: Address Name
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 My Family Clinic LLC's NPI number?

The NPI number for My Family Clinic LLC is 1730565912. It was assigned to this organization in the NPPES registry on August 10, 2015.

Where is My Family Clinic LLC located?

My Family Clinic LLC is located at 3717 S Western Ave, Oklahoma City, OK 73109. The listed phone number is (678) 294-9938.

What is My Family Clinic LLC's specialty?

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

Is My Family Clinic LLC enrolled in Medicare?

Yes. My Family Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through My Family Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to My Family Clinic 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 (4) and Family Practice (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does My Family Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2104922) is associated with this NPI, valid through November 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does My Family Clinic LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list My Family Clinic 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 My Family Clinic LLC was last updated on August 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.