Organization Active NPI

Apex Metabolic, LLC

  • Obesity Medicine (Preventive Medicine) Physician
  • Columbus, OH
National Provider Identifier
1164277307
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Preventive Medicine) PhysicianTaxonomy code 2083B0002X
Legal business name
APEX METABOLIC, LLC
Practice address
1151 Bethel Rd Ste 201
Columbus, OH 43220-2775
Phone
(614) 363-0847
NPI assigned
Apr 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Dr. Dacia Russell Goman, MDNPI 1093100331
Title
Ceo
Phone
(202) 445-7468

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
Obesity Medicine (Preventive Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083B0002X Primary

Addresses

Primary practice location

1151 Bethel Rd Ste 201
Columbus, OH 43220-2775

Mailing address

4000 Leap Rd
PO Box 70
Hilliard, OH 43026-0070
Phone (614) 363-0847

National Provider Directory

National Provider Directory

Locations

1151 Bethel Rd
Ste 201
Columbus, OH 43220
Phone (614) 451-5088

4000 Leap Rd
Unit 70
Hilliard, OH 43026

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": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1164277307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 LEAP RD",
            "address_2": "PO BOX 70",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430260070",
            "telephone_number": "614-363-0847",
            "fax_number": "614-363-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 BETHEL RD STE 201",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202775",
            "telephone_number": "614-363-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX METABOLIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "RUSSELL GOMAN",
        "authorized_official_first_name": "DACIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-445-7468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.