Phoenix Clinic and Afterhour Care
NPI 1720569403ActiveOrganization· Family Medicine· Snellville, GA
Family Medicine in Snellville, Georgia, registered in NPPES in August 2018. The authorized official on file is Marie Lightbourne, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720569403 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 22, 2018 |
| Last updated in NPPES | Aug 22, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 060359 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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