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ACADEMY PRIMARY CARE LLC
NPI 1730895517
Family Medicine in Greenwood, IN

Active since January 25, 2023CLIA 15D2290565 · Microscopy
107 N STATE ROAD 135, STE 103, GREENWOOD, IN 46142(317) 550-4510(317) 886-4550 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2023, Jan 25, 2023 (2 updates tracked since 2023).

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

NPI1730895517
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameACADEMY PRIMARY CARE LLC
Location Address107 N STATE ROAD 135, STE 103Greenwood, IN 46142-1352
Mailing Address107 N State Road 135, Ste 103Greenwood, IN 46142-1352 · (317) 550-4510 · Fax (317) 886-4550
Phone(317) 550-4510
Fax(317) 886-4550
Organization SubpartNo
Authorized OfficialShelley R StinerAuthorized Official · (317) 550-4510
Enumeration DateJanuary 25, 2023
Last NPPES UpdateFebruary 28, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2024
✔ NPI 1730895517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
107 N STATE ROAD 135, Greenwood, IN 46142
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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

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, IN
Active · expires Sep 26, 2027
CLIA Number15D2290565
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2025
Certificate Expiration DateSeptember 26, 2027
Laboratory DirectorShelley R. Stiner
Laboratory Phone(317) 550-4510
Laboratory LocationAcademy Primary Care107 N St Rd 135 Ste 103, Greenwood, IN 46142
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

SHELLEY R STINER DO
Family Medicine
107 N STATE ROAD 135, STE 103
GREENWOOD, IN 46142
Johnson County (317) 550-4510
LORI L DAVIDSON M.D.
Specialist
107 N STATE ROAD 135, SUITE 102
GREENWOOD, IN 46142
Johnson County (317) 893-3131

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 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.

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.