COLUMBUS FAMILY PRACTICE,LLC
NPI 1912557471
Nurse Practitioner - Family in Columbus, OH

Active since September 17, 2019CLIA 36D2244746 · Waiver
2575 WEST BROAD ST, COLUMBUS, OH 43204(614) 278-9666(614) 278-2385 Get Directions Write a Review

NPPES record last updated: January 3, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 3, 2020, Sep 17, 2019 (2 updates tracked since 2019).

About Columbus Family Practice,llc NPPES

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

COLUMBUS FAMILY PRACTICE,LLC (NPI 1912557471) is a healthcare organization registered as a family in Columbus, Ohio and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through December 5, 2027 and lists William Acheampong, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912557471
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCOLUMBUS FAMILY PRACTICE,LLC
Location Address2575 WEST BROAD STColumbus, OH 43204-3333
Mailing Address2575 West Broad StColumbus, OH 43204-3333 · (614) 278-9666 · Fax (614) 278-2385
Fax(614) 278-2385
Organization SubpartNo
Authorized OfficialWilliam AcheampongCeo · (614) 278-9666
Enumeration DateSeptember 17, 2019
Last NPPES UpdateJanuary 3, 20202 updates tracked since enumeration
✔ NPI 1912557471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2575 WEST BROAD ST, Columbus, OH 43204

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

Accepted 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)

Columbus Family Practice,llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Columbus Family Practice,llc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1982120564
2575 W BROAD ST
Columbus, OH 43204
(614) 278-9666
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1528221256
2200 W BROAD ST
Columbus, OH 43223
(614) 752-0333
✔ PECOS0.5 mi
Nurse Practitioner
NPI 1386597201
5 E LONG ST FL 11
Columbus, OH 43215
(614) 401-6589
✔ PECOS3.8 mi
Family Practice
NPI 1366439325
1797 HILL ROAD NORTH
Pickerington, OH 43147
(614) 755-6371
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1639860182
8693 BRENSTUHL PARK DR
Blacklick, OH 43004
(614) 989-6019
✔ PECOS✔ Accepts Medicare16 mi

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 36D2244746

Columbus Family Practice · Columbus, OH
Active · expires Dec 5, 2027
CLIA Number36D2244746
Laboratory TypePhysician Office
Certificate Effective DateDecember 6, 2025
Certificate Expiration DateDecember 5, 2027
Laboratory DirectorWilliam Acheampong
Laboratory Phone(614) 278-9666
Laboratory LocationColumbus Family Practice2575 W Broad Street, Columbus, OH 43204
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 Columbus Family Practice,llc's NPI number?

The NPI number for Columbus Family Practice,llc is 1912557471. It was assigned to this organization in the NPPES registry on September 17, 2019.

Where is Columbus Family Practice,llc located?

Columbus Family Practice,llc is located at 2575 West Broad St, Columbus, OH 43204. The listed phone number is (614) 278-9666.

What is Columbus Family Practice,llc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Columbus Family Practice,llc enrolled in Medicare?

Yes. Columbus Family Practice,llc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Columbus Family Practice,llc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Columbus Family Practice,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. The largest specialties are Nurse Practitioner (4) and Family Practice (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Columbus Family Practice,llc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2244746) is associated with this NPI, valid through December 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Columbus Family Practice,llc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Molina Healthcare list Columbus Family Practice,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 Columbus Family Practice,llc was last updated on January 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.