Organization Active NPI

Advancecare Remote Health & Wellness LLC

  • Adult Health Nurse Practitioner
  • Warner Robins, GA
National Provider Identifier
1437012473
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
ADVANCECARE REMOTE HEALTH & WELLNESS LLC
Practice address
4501 Russell Pkwy Ste 31
Warner Robins, GA 31088-8681
Phone
(478) 403-3295
NPI assigned
Dec 5, 2025
Last updated
Dec 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Kourtney Ingram, NPNPI 1801561089
Title
Owner/Nurse Practitioner
Phone
(478) 403-3295

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X Primary

Addresses

Primary practice location

4501 Russell Pkwy Ste 31
Warner Robins, GA 31088-8681

Mailing address

520 Ga Highway 247 S # 160
Bonaire, GA 31005-3886
Phone (478) 403-3295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260303003700 GA Part B Supplier - Clinic/Group Practice 2264914852 Receives reassigned benefits from 1 practitioner
Practice locations: Warner Robins, GA

National Provider Directory

National Provider Directory

Locations

520 GA Highway 247 S
#160
Bonaire, GA 31005

4501 Russell Pkwy
Ste 31
Warner Robins, GA 31088
Phone (478) 403-3295

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1437012473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 GA HIGHWAY 247 S # 160",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310053886",
            "telephone_number": "478-403-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 RUSSELL PKWY STE 31",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888681",
            "telephone_number": "478-403-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCECARE REMOTE HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-05",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "KOURTNEY",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "478-403-3295",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.