ADVANCED FAMILY MEDICINE, LLC
NPI 1639546377
Family Medicine in St George, UT

Active since August 28, 2015
619 S BLUFF ST, TOWER 1 SUITE 100, ST GEORGE, UT 84770(435) 656-0234(435) 656-2622 Get Directions Write a Review

NPPES record last updated: August 28, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Advanced Family Medicine, Llc NPPES

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

ADVANCED FAMILY MEDICINE, LLC (NPI 1639546377) is a healthcare organization registered as a family medicine in St George, Utah and active in the NPI registry since August 2015. The organization lists Roger A Russell, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1639546377
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameADVANCED FAMILY MEDICINE, LLC
Location Address619 S BLUFF ST, TOWER 1 SUITE 100St George, UT 84770-3853
Mailing Address619 S Bluff St, Tower 1 Suite 100St George, UT 84770-3853 · (435) 656-0234 · Fax (435) 656-2622
Fax(435) 656-2622
Organization SubpartYes
Authorized OfficialRoger A RussellClinic Administrator · (435) 656-0234
Enumeration DateAugust 28, 2015
NPI 1639546377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

619 S BLUFF ST, St George, UT 84770

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

Accepted Insurance

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 46D2071673

Advanced Family Medicine, LLC · Saint George, UT
Expired · Jan 15, 2026
CLIA Number46D2071673
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2024
Certificate Expiration DateJanuary 15, 2026
Laboratory DirectorRoger M. Russell MD
Laboratory Phone(435) 656-0234
Laboratory LocationAdvanced Family Medicine, LLC619 Bluff Street Suite 100, Saint George, UT 84770
CLIA data matches this NPI record on: 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.

Chiropractor
619 S BLUFF ST, TOWER 1 SUITE 400
ST GEORGE, UT 84770
Chiropractor
619 S BLUFF ST, TOWER 1 STE 400
ST GEORGE, UT 84770
Clinic/Center (Ambulatory Surgical)
619 S BLUFF ST, SUITE 401
ST GEORGE, UT 84770
Specialist
619 S BLUFF ST, TOWER 1 SUITE 100
ST GEORGE, UT 84770
Orthopaedic Surgery
619 S BLUFF ST, TOWER 1 SUITE 100
ST GEORGE, UT 84770
Counselor (Mental Health)
619 S BLUFF ST, TOWER 1 STE 301
ST GEORGE, UT 84770

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 Advanced Family Medicine, LLC's NPI number?

The NPI number for Advanced Family Medicine, LLC is 1639546377. It was assigned to this organization in the NPPES registry on August 28, 2015.

Where is Advanced Family Medicine, LLC located?

Advanced Family Medicine, LLC is located at 619 S Bluff St Tower 1 Suite 100, St George, UT 84770. The listed phone number is (435) 656-0234.

What is Advanced Family Medicine, LLC's specialty?

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

What insurance does Advanced Family Medicine, LLC accept?

Health plans from Molina Healthcare list Advanced Family Medicine, LLC 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 Advanced Family Medicine, LLC was last updated on August 28, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.