Organization Active NPI

Family Medicine Care, LLC

  • Family Medicine Physician
  • Beavercreek, OH
National Provider Identifier
1447291950
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICINE CARE, LLC
Practice address
2633 Commons Blvd Ste 120
Beavercreek, OH 45431-3827
Phone
(937) 427-8912
Fax
(937) 702-9041
NPI assigned
Jun 8, 2006
Last updated
Feb 16, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
INTERNAL MEDICINE CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Authorized official

Name
Troy A Tyner, DONPI 1003814526
Title
President
Phone
(937) 429-0607

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2633 Commons Blvd Ste 120
Beavercreek, OH 45431-3827

Mailing address

2633 Commons Blvd Ste 120
Beavercreek, OH 45431-3827
Phone (937) 427-8912

Other identifiers 1

IdentifierTypeStateIssuer
2312170MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324000528 OH Part B Supplier - Clinic/Group Practice 2567353881 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Beavercreek, OH

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
36D0988847Family Medicine Care LLC2633 Commons Boulevard, 120, Beavercreek, OH 45431Certificate of waiverJul 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Family Medicine Care2 organizations share this tax ID, including this one
Part of
Internal Medicine Care

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2358 Lakeview Dr
Ste D
Beavercreek, OH 45431
Phone (937) 427-1853

1250 W National Rd
Ste 400
Englewood, OH 45315
Phone (937) 836-2424

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1447291950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 COMMONS BLVD STE 120",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313827",
            "telephone_number": "937-427-8912",
            "fax_number": "937-702-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 COMMONS BLVD STE 120",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313827",
            "telephone_number": "937-427-8912",
            "fax_number": "937-702-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERNAL MEDICINE CARE, INC",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "TYNER",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-429-0607",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2312170",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.