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

Q: 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.

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

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

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: November 01, 2026.

On this page

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

Phone(435) 656-0234

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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)

Advanced Family Medicine, Llc 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 Advanced Family Medicine, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dana Hardin, M.D.

Family Practice

NPI 1053381558

619 SOUTH BLUFF STREET TOWER 1 SUITE 100
St. George, UT 84770

(435) 656-0234

✔ PECOSSame address

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 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.

Is Advanced Family Medicine, LLC enrolled in Medicare?

Yes. Advanced Family Medicine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Family Medicine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Advanced Family Medicine, LLC. 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 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.