ADVANCED FAMILY MEDICINE LLC - NPI 1346984242 - Clinic/Center in Grove City, OH

Q: What is Advanced Family Medicine LLC's NPI number?

The NPI number for Advanced Family Medicine LLC is 1346984242. It was assigned to this organization in the NPPES registry on April 26, 2022. The provider is doing business as Advanced Family Medicine.

Q: What is Advanced Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

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About Advanced Family Medicine Llc NPPES

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

ADVANCED FAMILY MEDICINE LLC (NPI 1346984242), doing business as Advanced Family Medicine, is a healthcare organization registered as a rehabilitation, substance use disorder in Grove City, Ohio and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through October 24, 2026 and lists James Cameron Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1346984242

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameADVANCED FAMILY MEDICINE LLC

Location Address4160 BROADWAYGrove City, OH 43123-3024

Mailing Address4160 BroadwayGrove City, OH 43123-3024 · (614) 875-0079

Phone(614) 875-0079

Organization SubpartYesParent: Advanced Family Medicine, Llc

Authorized OfficialJames Cameron JohnsonOwner · (614) 875-0079

Enumeration DateApril 26, 2022

NPPES CertifiedApril 12, 2022

✔ NPI 1346984242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

4160 BROADWAY, Grove City, OH 43123

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Other Names 1

Doing Business AsAdvanced Family Medicine

Other Identifiers 1

Other01-8755OH · Ohio Department Mental Health And Substance Abuse Certification

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 36D2048874

Advanced Family Medicine LLC · Grove City, OH

Active · expires Oct 24, 2026

CLIA Number36D2048874

Laboratory TypePhysician Office

Certificate Effective DateOctober 25, 2024

Certificate Expiration DateOctober 24, 2026

Laboratory DirectorJames C. Johnson

Laboratory Phone(614) 875-0079

Laboratory LocationAdvanced Family Medicine LLC4160 Broadway, Grove City, OH 43123

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA STEWART

Massage Therapist