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REPUBLIC FAMILY MEDICINE, LLC
NPI 1679980502
Family Medicine in Republic, MO

Active since July 11, 2014
117 W STATE HIGHWAY 174, REPUBLIC, MO 65738(417) 647-5131(417) 647-5168 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Republic Family Medicine, Llc NPPES

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

REPUBLIC FAMILY MEDICINE, LLC (NPI 1679980502) is a healthcare organization registered as a family medicine in Republic, Missouri and active in the NPI registry since July 2014. The organization lists Yvonne Marie Agius, Member, as its authorized official.

NPPES Registry Identity

NPI1679980502
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameREPUBLIC FAMILY MEDICINE, LLC
Location Address117 W STATE HIGHWAY 174Republic, MO 65738-1036
Mailing Address117 W State Highway 174Republic, MO 65738-1036 · (417) 647-5131 · Fax (417) 647-5168
Phone(417) 647-5131
Fax(417) 647-5168
Organization SubpartNo
Authorized OfficialYvonne Marie AgiusMember · (417) 824-0914
Enumeration DateJuly 11, 2014
Last NPPES UpdateOctober 2, 2023
NPPES CertifiedOctober 2, 2023
✔ NPI 1679980502 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.
117 W STATE HIGHWAY 174, Republic, MO 65738
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Other Identifiers 1

Medicaid1699724708MO

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinician (1)

Yvonne Agius, M.D.
Family Practice
NPI 1699724708
117 W STATE HIGHWAY 174
Republic, MO 65738
(417) 647-5131
✔ PECOS✔ Accepts MedicareSame address

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

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 26D2120092

Republic Family Medicine LLC · Republic, MO
Expired · Oct 10, 2026
CLIA Number26D2120092
Laboratory TypePhysician Office
Certificate Effective DateOctober 11, 2024
Certificate Expiration DateOctober 10, 2026
Laboratory DirectorYvonne M. Agius
Laboratory Phone(417) 647-5131
Laboratory LocationRepublic Family Medicine LLC117 W State Hwy 174, Republic, MO 65738
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Republic Family Medicine, LLC's NPI number?

The NPI number for Republic Family Medicine, LLC is 1679980502. It was assigned to this organization in the NPPES registry on July 11, 2014.

Where is Republic Family Medicine, LLC located?

Republic Family Medicine, LLC is located at 117 W State Highway 174, Republic, MO 65738. The listed phone number is (417) 647-5131.

What is Republic Family Medicine, LLC's specialty?

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

Is Republic Family Medicine, LLC enrolled in Medicare?

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

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

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Republic 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.

When was this NPI record last updated?

The NPPES record for Republic Family Medicine, LLC was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.