EDMOND PRIMARY CARE LLC
NPI 1770344160
Family Medicine in Edmond, OK
About Edmond Primary Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDMOND PRIMARY CARE LLC (NPI 1770344160) is a healthcare organization registered as a family medicine in Edmond, Oklahoma and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through January 29, 2028 and lists Amanda Bodine, Owner/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 37D2298182
Edmond Primary Care LLC · Edmond, OKOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Edmond Primary Care LLC's NPI number?
The NPI number for Edmond Primary Care LLC is 1770344160. It was assigned to this organization in the NPPES registry on January 22, 2024.
Where is Edmond Primary Care LLC located?
Edmond Primary Care LLC is located at 200 N Bryant Ave Ste 105, Edmond, OK 73034. The listed phone number is (405) 300-8964.
What is Edmond Primary Care LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Does Edmond Primary Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 37D2298182) is associated with this NPI, valid through January 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Edmond Primary Care LLC accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Edmond Primary Care 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 Edmond Primary Care LLC was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Edmond Primary Care Llc · NPI 1770344160
Family Medicine organization in Edmond, Oklahoma. Organization record, active in the CMS NPPES registry since January 22, 2024.
## Identity
- **NPI:** 1770344160 (Entity type: Organization)
- **Enumerated:** January 22, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Amanda Bodine, OWNER/CEO
## Practice location
- **Address:** 200 N BRYANT AVE STE 105, Edmond, OK 73034-6273
- **Phone:** (405) 300-8964
## Record status
- **NPPES last updated:** May 14, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1770344160) · Data from the CMS NPPES public registry.