Active NPI
Ohio Valley Advanced Medical Solutions
- Family Medicine Physician
- Union, KY
National Provider Identifier
1104787811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- OHIO VALLEY ADVANCED MEDICAL SOLUTIONS
- Practice address
- 909 Caitlin Dr
Union, KY 41091-8010 - Phone
- (646) 406-9661
- Fax
- (903) 205-9515
- NPI assigned
- Nov 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacques Alexis, MD
- Title
- Ceo
- Phone
- (646) 406-9661
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | |||
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X |
Addresses
Primary practice location
909 Caitlin Dr
Union, KY 41091-8010
Mailing address
909 Caitlin Dr
Union, KY 41091-8010
Phone (646) 406-9661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- North Miami Beach, FL
- NPI 1467854521
Family Medicine, KY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763683200000",
"number": "1104787811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 CAITLIN DR",
"city": "UNION",
"state": "KY",
"postal_code": "410918010",
"telephone_number": "646-406-9661",
"fax_number": "903-205-9515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 CAITLIN DR",
"city": "UNION",
"state": "KY",
"postal_code": "410918010",
"telephone_number": "646-406-9661",
"fax_number": "903-205-9515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OHIO VALLEY ADVANCED MEDICAL SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-21",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A",
"authorized_official_last_name": "ALEXIS",
"authorized_official_first_name": "JACQUES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "646-406-9661",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.