ACADEMY PRIMARY CARE LLC
NPI 1730895517
Family Medicine in Greenwood, IN
About Academy Primary Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ACADEMY PRIMARY CARE LLC (NPI 1730895517) is a healthcare organization registered as a family medicine in Greenwood, Indiana and active in the NPI registry since January 2023. The organization holds a CLIA Microscopy certificate valid through September 26, 2027 and lists Shelley R Stiner, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Academy Primary Care Llc 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 Academy Primary Care LLC, 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 for Provider-Performed Microscopy Procedures (PPMP) 15D2290565
Academy Primary Care · Greenwood, INFrequently 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 Academy Primary Care LLC's NPI number?
The NPI number for Academy Primary Care LLC is 1730895517. It was assigned to this organization in the NPPES registry on January 25, 2023.
Where is Academy Primary Care LLC located?
Academy Primary Care LLC is located at 107 N State Road 135 Ste 103, Greenwood, IN 46142. The listed phone number is (317) 550-4510.
What is Academy Primary Care LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Academy Primary Care LLC enrolled in Medicare?
Yes. Academy Primary Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Academy Primary Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Academy Primary Care 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Academy Primary Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 15D2290565) is associated with this NPI, valid through September 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Academy Primary Care LLC was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Academy Primary Care Llc · NPI 1730895517
Family Medicine organization in Greenwood, Indiana. Organization record, active in the CMS NPPES registry since January 25, 2023.
## Identity
- **NPI:** 1730895517 (Entity type: Organization)
- **Enumerated:** January 25, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Shelley Stiner, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 107 N STATE ROAD 135, STE 103, Greenwood, IN 46142-1352
- **Phone:** (317) 550-4510 · **Fax:** (317) 886-4550
## 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:** February 28, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1730895517) · Data from the CMS NPPES public registry.