Advance Family and Sports Medicine Center, PLLC
NPI 1376854083 · Family Medicine Physician · Advance, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advance Family and Sports Medicine Center, PLLC is a Family Medicine Physician organization in Advance, NC (NPI 1376854083).
Provider details
- NPI number
- 1376854083
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Walter Ezeigbo, Owner/Ceo(336) 940-2659
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-06-28
- Last updated
- 2010-11-05
Frequently asked questions
- What is Advance Family and Sports Medicine Center, PLLC's NPI number?
- Advance Family and Sports Medicine Center, PLLC's National Provider Identifier (NPI) is 1376854083, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advance Family and Sports Medicine Center, PLLC?
- Advance Family and Sports Medicine Center, PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Advance Family and Sports Medicine Center, PLLC located?
- Advance Family and Sports Medicine Center, PLLC's practice location on file with NPPES is 169 Yadkin Valley Rd, Advance, NC 27006-8786.
- What is Advance Family and Sports Medicine Center, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Advance Family and Sports Medicine Center, PLLC is (336) 940-2659.
- Does Advance Family and Sports Medicine Center, PLLC accept Medicare?
- Advance Family and Sports Medicine Center, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Advance Family and Sports Medicine Center, PLLC?
- The authorized official listed on Advance Family and Sports Medicine Center, PLLC's NPPES record is Walter Ezeigbo, Owner/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advance Family and Sports Medicine Center, PLLC's NPI active?
- Yes — Advance Family and Sports Medicine Center, PLLC's NPI (1376854083) is active in the NPPES registry as of the last update on 2010-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.