Athena Medical Group
NPI 1164918124 · Family Medicine Physician · Phoenix, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1164918124
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Yancey Gaither, Managing Partner(480) 712-8319
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (5)
- 1942 Broadway St, Suite 314cBoulder, CO 80302Phone: (480) 712-8319Fax: (480) 712-1305
- 7901 4th St N Ste 300Saint Petersburg, FL 33702-4399Phone: (480) 712-8319
- 401 Ryland St, Suite 200-AReno, NV 89502Phone: (480) 712-8319Fax: (480) 712-1305
- 5900 Balcones Drive Suite 6954Austin, TX 78731Phone: (480) 712-8319Fax: (480) 712-1305
- 800 5th Avenue, Ste 101-800Seattle, WA 98104Phone: (480) 712-8319Fax: (480) 712-1305
Registry dates
- Enumerated
- 2018-07-02
- Last updated
- 2026-01-20
- Certified
- 2026-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.