Advanced Family Medicine LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

ADVANCED FAMILY MEDICINE LLC

Doing business as

Advanced Family Medicine

Practice address

4160 Broadway
Grove City, OH 43123-3024

Phone

(614) 875-0079

NPI assigned

Feb 13, 2018

Last updated

Jan 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Cameron Johnson

Title

D.O.

Phone

(614) 875-0079

Specialties & licenses 4

Addresses

Other names 1

• Advanced Family Medicine Doing business as

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1851891279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 BROADWAY",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233024",
            "telephone_number": "614-875-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 BROADWAY",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233024",
            "telephone_number": "614-875-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CAMERON",
        "authorized_official_title_or_position": "D.O.",
        "authorized_official_telephone_number": "614-875-0079"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Michele Adkins
• Jonathon Adkins
• Advanced Family Medicine LLC (Advanced Family Medicine)
• Advanced Family Medicine LLC (Advanced Family Medicine)
• Advanced Family Medicine LLC
• David Joseph Aeh, DO
• Aderonke Basheerat Afolabi
• Shola Jacob Afolabi
• Agape Counseling & Consultation Services, LLC
• Mabel Aggoe-Opoku

• Adult Medicine Physician in Grove City, OH
• Providers in Grove City, OH by specialty
• Adult Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.