Organization Active NPI

Advanced Wellness Associates PLLC

  • Family Medicine Physician
  • Gainesville, FL
National Provider Identifier
1184440836
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ADVANCED WELLNESS ASSOCIATES PLLC
Practice address
4131 NW 28TH LN Ste 4
Gainesville, FL 32606-6681
Phone
(352) 681-9652
NPI assigned
Nov 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Morgan M.E. Burns, APRN
Title
Owner
Phone
(352) 681-9652

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

4131 NW 28TH LN Ste 4
Gainesville, FL 32606-6681

Mailing address

4131 NW 28TH LN Ste 4
Gainesville, FL 32606-6681
Phone (352) 681-9652

National Provider Directory

National Provider Directory

Locations

4131 NW 28th Ln
Ste 4
Gainesville, FL 32606
Phone (305) 586-2998

NPI Registry JSON

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1184440836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 NW 28TH LN STE 4",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066681",
            "telephone_number": "352-681-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 NW 28TH LN STE 4",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066681",
            "telephone_number": "352-681-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WELLNESS ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "M.E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-681-9652",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.