COMMUNITY CARE MOBILE CLINIC LLC
NPI 1871363564
Clinic/Center - Health Service in Americus, GA

Active since January 04, 2024CLIA 11D2333758 · Waiver
169 PACKING HOUSE RD, AMERICUS, GA 31709(229) 410-9174 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Community Care Mobile Clinic Llc NPPES

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

COMMUNITY CARE MOBILE CLINIC LLC (NPI 1871363564) is a healthcare organization registered as a health service in Americus, Georgia and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through November 9, 2027 and lists Deborah Tymes Rhodes, Owner, as its authorized official.

NPPES Registry Identity

NPI1871363564
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameCOMMUNITY CARE MOBILE CLINIC LLC
Location Address169 PACKING HOUSE RDAmericus, GA 31709-7932
Mailing AddressPo Box 1636Americus, GA 31709-1636 · (229) 410-9174
Organization SubpartNo
Authorized OfficialDeborah Tymes RhodesOwner · (229) 410-9174
Enumeration DateJanuary 4, 2024
Last NPPES UpdateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
NPI 1871363564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
169 PACKING HOUSE RD, Americus, GA 31709

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 11D2333758

Community Care Mobile Clinic, LLC · Americus, GA
Active · expires Nov 9, 2027
CLIA Number11D2333758
Laboratory TypePhysician Office
Certificate Effective DateNovember 10, 2025
Certificate Expiration DateNovember 9, 2027
Laboratory DirectorDeborah T. Rhodes
Laboratory Phone(229) 410-9174
Laboratory LocationCommunity Care Mobile Clinic, LLC1123 E Lamar Street, Americus, GA 31709
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Clinic/Center (Health Service)
169 PACKING HOUSE RD
AMERICUS, GA 31709

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 Community Care Mobile Clinic LLC's NPI number?

The NPI number for Community Care Mobile Clinic LLC is 1871363564. It was assigned to this organization in the NPPES registry on January 4, 2024.

Where is Community Care Mobile Clinic LLC located?

Community Care Mobile Clinic LLC is located at 169 Packing House Rd, Americus, GA 31709. The listed phone number is (229) 410-9174.

What is Community Care Mobile Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Community Care Mobile Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2333758) is associated with this NPI, valid through November 9, 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 Community Care Mobile Clinic LLC was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.