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)
Athena Medical Group is a Family Medicine Physician organization in Phoenix, AZ (NPI 1164918124).
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
8 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
Frequently asked questions
- What is Athena Medical Group's NPI number?
- Athena Medical Group's National Provider Identifier (NPI) is 1164918124, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Athena Medical Group?
- Athena Medical Group is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Athena Medical Group located?
- Athena Medical Group's practice location on file with NPPES is 16515 S 40th St Ste 143, Phoenix, AZ 85048-0560.
- What is Athena Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Athena Medical Group is (480) 712-8319.
- Does Athena Medical Group accept Medicare?
- Athena Medical Group is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Athena Medical Group?
- The authorized official listed on Athena Medical Group's NPPES record is Yancey Gaither, Managing Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Athena Medical Group's NPI active?
- Yes — Athena Medical Group's NPI (1164918124) is active in the NPPES registry as of the last update on 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.