Organization Active NPI

Family Focused Health Associates PLLC

Doing business as Edgmon Family Medicine

  • Family Medicine Physician
  • Saint Clairsville, OH
National Provider Identifier
1497800676
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY FOCUSED HEALTH ASSOCIATES PLLC
Doing business as
Edgmon Family Medicine
Practice address
51342 National Rd Ste J
Saint Clairsville, OH 43950-1700
Phone
(740) 232-2180
Fax
(740) 232-2182
NPI assigned
Jan 25, 2007
Last updated
Jan 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Authorized official

Name
Michelle Edgmon, FNPNPI 1609147883
Title
Ceo
Phone
(740) 232-2180

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 Physician 207Q00000X Primary

Addresses

Primary practice location

51342 National Rd Ste J
Saint Clairsville, OH 43950-1700

Mailing address

51342 National Rd Ste J
Saint Clairsville, OH 43950-1700
Phone (740) 232-2180

Other identifiers 1

IdentifierTypeStateIssuer
0005909MedicaidOH

Other names 1

  • Edgmon Family Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230110001764 OH Part B Supplier - Clinic/Group Practice 9133163355 Receives reassigned benefits from 2 practitioners
Practice locations: Saint Clairsville, 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
36D2270996Family Focused Health51342 National Road, Suite J, St Clairsville, OH 43950Certificate of waiverOct 24, 2026

National Provider Directory

National Provider Directory

Locations

1516 Commerce St
Wellsburg, WV 26070
Phone (304) 737-0805

Practitioners & affiliated clinicians

Practitioners 2

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1497800676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51342 NATIONAL RD STE J",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501700",
            "telephone_number": "740-232-2180",
            "fax_number": "740-232-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51342 NATIONAL RD STE J",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501700",
            "telephone_number": "740-232-2180",
            "fax_number": "740-232-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOCUSED HEALTH ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "EDGMON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-232-2180",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005909",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edgmon Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Clairsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.