Ar Advanced Woundcare Solutions LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

AR ADVANCED WOUNDCARE SOLUTIONS LLC

Practice address

707 Whitlock Ave SW Ste A40
Marietta, GA 30064-4654

Phone

(470) 287-5935

NPI assigned

Feb 20, 2025

Last updated

Feb 20, 2025By 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

Jayne N Andrade, DNP, FNPNPI 1467850578

Title

Ceo

Phone

(678) 939-6120

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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.

• Jayne N Andrade, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Marietta, GA
  • NPI 1467850578
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1588460695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1093 ANGEL LN",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301275423",
            "telephone_number": "678-939-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 WHITLOCK AVE SW STE A40",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644654",
            "telephone_number": "470-287-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AR ADVANCED WOUNDCARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-939-6120",
        "authorized_official_credential": "DNP, FNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Nurse Practitioner in Marietta, GA
• Providers in Marietta, GA by specialty
• Primary Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.