Organization Active NPI

Advanced Healthcare Specialist

  • Family Nurse Practitioner
  • Gulfport, MS
National Provider Identifier
1760004774
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ADVANCED HEALTHCARE SPECIALIST
Doing business as
Advanced Healthcare Specialist
Practice address
12407 Highway 49 Ste 2
Gulfport, MS 39503-4091
Phone
(228) 596-5749
Fax
(228) 269-0002
NPI assigned
May 13, 2020
Last updated
Apr 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Rhonda Foles, DNPNPI 1750848768
Title
Owner
Phone
(228) 596-5749

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary
Primary Care Nurse Practitioner 363LP2300X NU

Addresses

Primary practice location

12407 Highway 49 Ste 2
Gulfport, MS 39503-4091

Mailing address

12407 Highway 49 Ste 2
Gulfport, MS 39503-4091
Phone (228) 596-5749

Other names 1

  • Advanced Healthcare Specialist Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 1760848768 Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201005000074 MS Part B Supplier - Clinic/Group Practice 9931528387 Receives reassigned benefits from 1 practitioner
Practice locations: Gulfport, MS

National Provider Directory

National Provider Directory

Locations

1120 Broad Ave
Gulfport, MS 39501
Phone (228) 596-5749

12407 Highway 49
Ste 2
Gulfport, MS 39503
Phone (228) 596-5749

8294 Firetower Rd
Ste A
Pass Christian, MS 39571

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": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1760004774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12407 HIGHWAY 49 STE 2",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034091",
            "telephone_number": "228-596-5749",
            "fax_number": "228-269-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12407 HIGHWAY 49 STE 2",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034091",
            "telephone_number": "228-596-5749",
            "fax_number": "228-269-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTHCARE SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "FOLES",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-596-5749",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "1760848768",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12407 Highway 49 Ste 2",
            "city": "Gulfport",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395034091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Advanced Healthcare Specialist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Healthcare Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.