ATLANTIC FAMILY HEALTHCARE
NPI 1992973200
Clinic/Center - Primary Care in San Antonio, TX

Active since February 20, 2008CLIA 45D1079958 · Waiver
11403 OCONNOR RD, STE. 108, SAN ANTONIO, TX 78233(210) 657-3700(210) 657-3708 Get Directions Write a Review

NPPES record last updated: February 28, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Atlantic Family Healthcare NPPES

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

ATLANTIC FAMILY HEALTHCARE (NPI 1992973200) is a healthcare organization registered as a primary care in San Antonio, Texas and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through February 10, 2028 and lists Ughanmwan Efeovbokhan, Owner, as its authorized official.

NPPES Registry Identity

NPI1992973200
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameATLANTIC MEDICAL, PLLC
Location Address11403 OCONNOR RD, STE. 108San Antonio, TX 78233-5390
Mailing Address11403 Oconnor Rd, Ste. 108San Antonio, TX 78233-5390 · (210) 657-3700 · Fax (210) 657-3708
Fax(210) 657-3708
Organization SubpartNo
Authorized OfficialUghanmwan EfeovbokhanOwner · (210) 657-3700
Enumeration DateFebruary 20, 2008
Last NPPES UpdateFebruary 28, 2019
✔ NPI 1992973200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in TX · PA01295
11403 OCONNOR RD, San Antonio, TX 78233

Other Names 1

Other NameAtlantic Family Healthcare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Atlantic Family Healthcare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Atlantic Family Healthcare, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1649387630
8101 ROUGHRIDER DR
Windcrest, TX 78239
(210) 657-3700
✔ PECOS✔ Accepts Medicare2.6 mi
Internal Medicine
NPI 1427168061
720 PLEASANTON RD
San Antonio, TX 78214
(210) 921-3800
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1407250681
600 DIVISION AVE STE E
San Antonio, TX 78214
(210) 222-0333
✔ PECOS14 mi
Internal Medicine
NPI 1922109651
7712 ECKHERT RD
San Antonio, TX 78240
(210) 520-8060
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1245711050
7005 MIRA LOMA LN STE 102
Austin, TX 78723
(512) 795-4344
✔ PECOS✔ Accepts Medicare68 mi
Nurse Practitioner
NPI 1053894857
8901 ROCKVILLE PIKE
Bethesda, MD 20889
(301) 319-2355
✔ PECOS1,376 mi

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 45D1079958

Atlantic Medical PLLC · Windcrest, TX
Active · expires Feb 10, 2028
CLIA Number45D1079958
Laboratory TypePhysician Office
Certificate Effective DateFebruary 11, 2026
Certificate Expiration DateFebruary 10, 2028
Laboratory DirectorEarl C. Ruby
Laboratory Phone(210) 657-3700
Laboratory LocationAtlantic Medical PLLC8101 Roughrider Drive, Windcrest, TX 78239
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Atlantic Medical, PLLC's NPI number?

The NPI number for Atlantic Medical, PLLC is 1992973200. It was assigned to this organization in the NPPES registry on February 20, 2008. The provider is also known as Atlantic Family Healthcare.

Where is Atlantic Medical, PLLC located?

Atlantic Medical, PLLC is located at 11403 Oconnor Rd Ste. 108, San Antonio, TX 78233. The listed phone number is (210) 657-3700.

What is Atlantic Medical, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Atlantic Medical, PLLC enrolled in Medicare?

Yes. Atlantic Medical, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atlantic Medical, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Atlantic Medical, PLLC. 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. The largest specialties are Nurse Practitioner (4) and Internal Medicine (2). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Atlantic Medical, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1079958) is associated with this NPI, valid through February 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Atlantic Medical, PLLC accept?

Health plans from WellPoint list Atlantic Medical, PLLC 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 Atlantic Medical, PLLC was last updated on February 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.