ADVANCE FAMILY AND SPORTS MEDICINE CENTER, PLLC
NPI 1376854083
Family Medicine in Advance, NC

Q: What is Advance Family And Sports Medicine Center, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 28, 2010

169 YADKIN VALLEY RD, SUITE 101, ADVANCE, NC 27006(336) 940-2659 Get Directions Write a Review

NPPES record last updated: November 5, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Advance Family And Sports Medicine Center, Pllc NPPES

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

ADVANCE FAMILY AND SPORTS MEDICINE CENTER, PLLC (NPI 1376854083) is a healthcare organization registered as a family medicine in Advance, North Carolina and active in the NPI registry since June 2010. The organization lists Walter Ezeigbo, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1376854083

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameADVANCE FAMILY AND SPORTS MEDICINE CENTER, PLLC

Location Address169 YADKIN VALLEY RD, SUITE 101Advance, NC 27006-8786

Mailing Address169 Yadkin Valley Rd, Suite 101Advance, NC 27006-8786 · (336) 940-2659

Phone(336) 940-2659

Organization SubpartNo

Authorized OfficialWalter EzeigboOwner/ceo · (336) 940-2659

Enumeration DateJune 28, 2010

Last NPPES UpdateNovember 5, 2010

✔ NPI 1376854083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X

169 YADKIN VALLEY RD, Advance, NC 27006

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advance Family And Sports Medicine Center, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Advance Family And Sports Medicine Center, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Walter Ezeigbo, MD

Family Practice

NPI 1306839659

1000 SOUTHPARK BLVD SUITE A
Winston Salem, NC 27127

(336) 788-4545

✔ PECOS✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advance Family And Sports Medicine Center, PLLC's NPI number?

The NPI number for Advance Family And Sports Medicine Center, PLLC is 1376854083. It was assigned to this organization in the NPPES registry on June 28, 2010.

Where is Advance Family And Sports Medicine Center, PLLC located?

Advance Family And Sports Medicine Center, PLLC is located at 169 Yadkin Valley Rd Suite 101, Advance, NC 27006. The listed phone number is (336) 940-2659.

What is Advance Family And Sports Medicine Center, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Advance Family And Sports Medicine Center, PLLC enrolled in Medicare?

Yes. Advance Family And Sports Medicine Center, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advance Family And Sports Medicine Center, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Advance Family And Sports Medicine Center, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advance Family And Sports Medicine Center, PLLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next list Advance Family And Sports Medicine Center, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advance Family And Sports Medicine Center, PLLC was last updated on November 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.