Organization Active NPI

Vance Family Medicine LLC

  • Primary Care Clinic/Center
  • Columbus, GA
National Provider Identifier
1003609926
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
VANCE FAMILY MEDICINE LLC
Practice address
7413 Whitesville Rd Ste 700
Columbus, GA 31904-3230
Phone
(706) 887-4123
Fax
(706) 887-4124
NPI assigned
May 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric Jonathan Vance, FNPNPI 1265033435
Title
Provider
Phone
(847) 305-4866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

7413 Whitesville Rd Ste 700
Columbus, GA 31904-3230

Mailing address

7413 Whitesville Rd Ste 700
Columbus, GA 31904-3230
Phone (706) 887-4123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251001001972 GA Part B Supplier - Clinic/Group Practice 5294231049 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2327904Vance Family Medicine, LLC7413 Whitesville Road, Suite 700, Columbus, GA 31904Certificate of waiverJul 30, 2027

National Provider Directory

National Provider Directory

Locations

7413 Whitesville Rd
Ste 700
Columbus, GA 31904
Phone (706) 507-7707

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1003609926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7413 WHITESVILLE RD STE 700",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043230",
            "telephone_number": "706-887-4123",
            "fax_number": "706-887-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7413 WHITESVILLE RD STE 700",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043230",
            "telephone_number": "706-887-4123",
            "fax_number": "706-887-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCE FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "847-305-4866",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.