Advanced Medical LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

ADVANCED MEDICAL LLC

Doing business as

Health Care Medical Infusion Specialties

Practice address

625 S Pear Orchard Rd Ste a
Ridgeland, MS 39157-4811

Phone

(601) 502-7036

NPI assigned

Apr 16, 2025

Last updated

Jul 17, 2026By 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

Greg Kaniecki

Title

Evp, Growth & Operations

Phone

(769) 233-8484

Specialties & licenses 3

Addresses

Other names 1

• Health Care Medical Infusion Specialties Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Advanced Medical, LLC

  • Home Infusion Therapy Pharmacy
  • Ridgeland, MS
  • NPI 1205900958

  1254532542

  Same PAC ID

Tax ID family

Advanced Medical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Advanced Medical, LLC

  • Clinic/Center
  • Ridgeland, MS
  • NPI 1427643220
  NPD tax ID

Locations

Practitioners 1

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.

• Tonya Mayers-Sherman, FNP-C

  • Family Nurse Practitioner
  • Ridgeland, MS
  • NPI 1023686458
  NPD

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1144016254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S PEAR ORCHARD RD STE A",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574811",
            "telephone_number": "769-233-8484",
            "fax_number": "769-233-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S PEAR ORCHARD RD STE A",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574811",
            "telephone_number": "601-502-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-16",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "KANIECKI",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "EVP, GROWTH & OPERATIONS",
        "authorized_official_telephone_number": "769-233-8484"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Care Medical Infusion Specialties",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Infusion Therapy Pharmacy in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Home Infusion Therapy Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.