Advanced Mobile Wound Care, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ADVANCED MOBILE WOUND CARE, LLC

Practice address

56 Pointe Cir Ste 100
Greenville, SC 29615-3506

Phone

(888) 459-6863

NPI assigned

Jul 18, 2024

Last updated

Jul 18, 2024By 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

Elliot Hirshorn

Title

Owner

Phone

(864) 881-4595

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 6

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.

• Yaima Fonseca

  • Family Nurse Practitioner
  • Greenville, SC
  • NPI 1225854094
  Medicare reassignment Care Compare group NPD
• Eric Hans Gruenberger, MD

  • General Practice Physician
  • Columbia, SC
  • NPI 1174975734
  Medicare reassignment Care Compare group NPD
• Gloria Teal Britt, APN

  • Family Nurse Practitioner
  • Columbia, SC
  • NPI 1770315301
  Medicare reassignment NPD
• Trishia Lynn Davis, FNP-C

  • Family Nurse Practitioner
  • Laurens, SC
  • NPI 1225775380
  Medicare reassignment NPD
• Madison Haley Nicksic, FNP-BC

  • Family Nurse Practitioner
  • Bluffton, SC
  • NPI 1609602275
  Medicare reassignment NPD
• Arthur Elliot Hirshorn III, DC, DACNB

  • Chiropractor
  • Greenville, SC
  • NPI 1174867386
  NPD (past)

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1790523116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 POINTE CIR STE 100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 POINTE CIR STE 100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153506",
            "telephone_number": "888-459-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MOBILE WOUND CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "HIRSHORN",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-881-4595"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Chiropractic of South Carolina
• Advanced Defense Protection, LLC
• Advanced Eye Care of the Upstate, PA
• Advanced Hearing Solutions of Greenville LLC
• Advanced Institute for Development and Learning
• Advanced Pharmacy LLC (Advanced Pharmacy)
• Advanced Prosthetics Inc.
• Advanced Therapy Solutions, Inc
• Advanced Therapy Solutions, Inc
• Advantage Home Medical Company

• General Practice Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• General Practice Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.