Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Athena Medical Group

Organization Family Medicine Physician · NPI 1164918124

Athena Medical Group is a Family Medicine Physician in Phoenix, Arizona. Works from 6 locations. Registered with an NPI since 2018.

In the registry since
2018
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Practice location Address checks out

16515 S 40th St Ste 143
Phoenix, AZ 85048-0560
Phone: (480) 712-8319
Fax: (480) 712-1305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 1942 Broadway St, Suite 314c, Boulder, CO 80302 — (480) 712-8319
  • 7901 4th St N Ste 300, Saint Petersburg, FL 33702-4399 — (480) 712-8319
  • 401 Ryland St, Suite 200-A, Reno, NV 89502 — (480) 712-8319
  • 5900 Balcones Drive Suite 6954, Austin, TX 78731 — (480) 712-8319
  • 800 5th Avenue, Ste 101-800, Seattle, WA 98104 — (480) 712-8319

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1164918124
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yancey Gaither — Managing Partner · (480) 712-8319
NPI enumeratedJuly 2, 2018
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026
Mailing address16515 S 40th St Ste 143, Phoenix, AZ 85048-0560

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