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DEACONESS CLINIC - GIBSON HOSPITAL STE 2209
NPI 1982216495
Family Medicine in Princeton, IN

Active since August 18, 2020CLIA 15D0361322 · Waiver
1808 SHERMAN DR, PRINCETON, IN 47670(812) 385-9420(812) 385-9426 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Deaconess Clinic - Gibson Hospital Ste 2209 NPPES

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

DEACONESS CLINIC - GIBSON HOSPITAL STE 2209 (NPI 1982216495) is a healthcare organization registered as a family medicine in Princeton, Indiana and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through November 30, 2027 and lists Cheryl Annette Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1982216495
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEACONESS CLINIC, INC
Location Address1808 SHERMAN DRPrinceton, IN 47670-1043
Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 385-9240 · Fax (812) 385-9426
Phone(812) 385-9420
Fax(812) 385-9426
Organization SubpartNo
Authorized OfficialCheryl Annette WathenCfo · (812) 450-3296
Enumeration DateAugust 18, 2020
Last NPPES UpdateAugust 20, 2020
NPPES CertifiedAugust 20, 2020
✔ NPI 1982216495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1808 SHERMAN DR, Princeton, IN 47670
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Other Names 1

Doing Business AsDeaconess Clinic - Gibson Hospital Ste 2209

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 15D0361322

Deaconess Clinic Gibson Hospital Suite 2203 A - Brink · Princeton, IN
Active · expires Nov 30, 2027
CLIA Number15D0361322
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorBruce Brink Jr
Laboratory Phone(812) 385-9420
Laboratory LocationDeaconess Clinic Gibson Hospital Suite 2203 A - Brink1808 Sherman Suite 2203, Princeton, IN 47670
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 20

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

RICHARD W GRIFFIN JR. MD
Emergency Medicine
1808 SHERMAN DR
PRINCETON, IN 47670
Gibson County (812) 385-3401
DANIEL BROWN MD
Emergency Medicine
1808 SHERMAN DR
PRINCETON, IN 47670
Gibson County (812) 385-9397
DR. THOMAS JOSEPH M.D.
Specialist
1808 SHERMAN DR, SUITE 2203
PRINCETON, IN 47670
Gibson County (812) 385-1788
COREY A POTTS CRNA
Nurse Anesthetist, Certified Registered
1808 SHERMAN DR
PRINCETON, IN 47670
Gibson County (812) 385-3400
MS. LAURA WYATT
Physical Therapist
1808 SHERMAN DR
PRINCETON, IN 47670
Gibson County (812) 385-9201
MR. BRETT HIRT
Physical Therapist
1808 SHERMAN DR
PRINCETON, IN 47670
Gibson County (812) 385-9250
MS. PAM BISHOP
Physical Therapy Assistant
1808 SHERMAN DR
PRINCETON, IN 47670
Gibson County (812) 385-9250
MR. JIM MALONEY
Physical Therapist
1808 SHERMAN DR
PRINCETON, IN 47670
Gibson County (812) 385-9250

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 Deaconess Clinic, Inc's NPI number?

The NPI number for Deaconess Clinic, Inc is 1982216495. It was assigned to this organization in the NPPES registry on August 18, 2020. The provider is doing business as Deaconess Clinic - Gibson Hospital Ste 2209.

Where is Deaconess Clinic, Inc located?

Deaconess Clinic, Inc is located at 1808 Sherman Dr, Princeton, IN 47670. The listed phone number is (812) 385-9420.

What is Deaconess Clinic, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Deaconess Clinic, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0361322) is associated with this NPI, valid through November 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Deaconess Clinic, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Deaconess Clinic, Inc 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 Deaconess Clinic, Inc was last updated on August 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.