Organization Active NPI

Wound Care Pro, LLC

  • Gerontology Nurse Practitioner
  • New Albany, MS
National Provider Identifier
1871312504
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Legal business name
WOUND CARE PRO, LLC
Practice address
307 E Bankhead St
New Albany, MS 38652-3910
Phone
(662) 469-5659
Fax
(662) 929-0007
NPI assigned
Oct 9, 2024
Last updated
Jul 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Ryain Alexander, AGNPNPI 1508466467
Title
Owner
Phone
(662) 587-4153

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
Gerontology Nurse Practitioner 363LG0600X NU Primary

Addresses

Primary practice location

307 E Bankhead St
New Albany, MS 38652-3910

Mailing address

309 E Bankhead St
New Albany, MS 38632
Phone (662) 469-5659

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250205000126 MS Part B Supplier - Clinic/Group Practice 0840720967 Receives reassigned benefits from 1 practitioner
Practice locations: Ashland, MS; New Albany, MS; Ripley, MS

National Provider Directory

National Provider Directory

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": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1871312504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E BANKHEAD ST",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "38632",
            "telephone_number": "662-469-5659",
            "fax_number": "662-929-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E BANKHEAD ST",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523910",
            "telephone_number": "662-469-5659",
            "fax_number": "662-929-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE PRO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "RYAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-587-4153",
        "authorized_official_credential": "AGNP"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.