Active NPI
Southeastern Advanced Wound Care
- Emergency Medicine Physician
- Montgomery, AL
National Provider Identifier
1821985698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- SOUTHEASTERN ADVANCED WOUND CARE
- Practice address
- 249 Winton M Blount Loop
Montgomery, AL 36117-3507 - Phone
- (334) 695-4034
- Fax
- (334) 356-7838
- NPI assigned
- Jun 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ryan Turner
- Title
- Partner
- Phone
- (334) 695-4034
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | |||
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
249 Winton M Blount Loop
Montgomery, AL 36117-3507
Mailing address
249 Winton M Blount Loop
Montgomery, AL 36117-3507
Phone (334) 695-4034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250711001247 | AL | Part B Supplier - Clinic/Group Practice | 9638684517 |
Receives reassigned benefits from 1 practitioner Practice locations: Montgomery, AL |
National Provider Directory
National Provider DirectoryLocations
249 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 213-0036
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Montgomery, AL
- NPI 1215319447
AL, Emergency Medicine
-
- Chiropractor
- Troy, AL
- NPI 1235215245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750896000000",
"number": "1821985698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "249 WINTON M BLOUNT LOOP",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361173507",
"telephone_number": "334-695-4034",
"fax_number": "334-356-7838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 WINTON M BLOUNT LOOP",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361173507",
"telephone_number": "334-695-4034",
"fax_number": "334-356-7838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEASTERN ADVANCED WOUND CARE",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-23",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A",
"authorized_official_last_name": "TURNER",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "334-695-4034"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207PE0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
- Southeast Cancer Network, Inc
- Southeast Cancer Network, Inc
- Southeast Cancer Network, Inc
- Southeast Hospice Network, LLC
- Southeast Surgery, PC
- Southeastern Cardiology Consultants
- Southeastern Family Foot Care, LLC
- Southeastern Family Foot Care, LLC
- Southeastern Heart & Vascular Associates, PC
- Southeastern Industrial & Family Medicine Assoc., LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.