COMMUNITY CARE MOBILE CLINIC LLC
NPI 1871363564
Clinic/Center - Health Service in Americus, GA
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Community Care Mobile Clinic 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 Community Care Mobile Clinic 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 of Waiver 11D2333758
Community Care Mobile Clinic, LLC · Americus, GAFrequently 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.
Is Community Care Mobile Clinic LLC enrolled in Medicare?
Yes. Community Care Mobile Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Community Care Mobile Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Community Care Mobile 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 21 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.
# Community Care Mobile Clinic Llc · NPI 1871363564
Health Service organization in Americus, Georgia. Organization record, active in the CMS NPPES registry since January 4, 2024.
## Identity
- **NPI:** 1871363564 (Entity type: Organization)
- **Enumerated:** January 4, 2024
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Deborah Rhodes, OWNER
## Practice location
- **Address:** 169 PACKING HOUSE RD, Americus, GA 31709-7932
- **Phone:** (229) 410-9174
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 14, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1871363564) · Data from the CMS NPPES public registry.