{"npi":"1376854083","type":"NPI-2","status":"active","name":{"display":"Advance Family And Sports Medicine Center, PLLC","other":[],"organization_name":"ADVANCE FAMILY AND SPORTS MEDICINE CENTER, PLLC","authorised_official":"Walter Ezeigbo"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207QS0010X","description":"Sports Medicine (Family Medicine) Physician","primary":false,"state":null,"license":null},{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"169 YADKIN VALLEY RD","city":"ADVANCE","state":"NC","postal_code":"270068786","country_code":"US","street_2":"SUITE 101","phone":"3369402659"},{"purpose":"MAILING","street_1":"169 YADKIN VALLEY RD","city":"ADVANCE","state":"NC","postal_code":"270068786","country_code":"US","street_2":"SUITE 101","phone":"3369402659"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20101011000997","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NC","pac_id":"9537351440"}]},"enumeration_date":"2010-06-28","last_updated":"2010-11-05","_meta":{"source":"NPPES","snapshot_date":"2010-11-05","doc_url":"https://findmynpi.com/api"}}