Advanced Health Care Center

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ADVANCED HEALTH CARE CENTER

Practice address

391 S 1St St
Jesup, GA 31545-1132

Phone

(912) 427-8433

NPI assigned

Sep 15, 2006

Last updated

Feb 16, 2011By 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

Edwin F. Davis, D.C.NPI 1083714497

Title

Ceo

Phone

(912) 427-8433

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 12

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.

• Edwin Faine Davis Jr., D.C.

  • Chiropractor
  • Jesup, GA
  • NPI 1083714497
  Medicare reassignment Care Compare group NPD Authorized official
• Emily Freeman Williams, FNP-C

  • Family Nurse Practitioner
  • Jesup, GA
  • NPI 1376434142
  Medicare reassignment Care Compare group NPD
• Tracy Little Pritchard, APRN

  • Family Nurse Practitioner
  • Fleming Island, FL
  • NPI 1881430437

  GA

  Medicare reassignment Care Compare group NPD
• Sandra Kay Bohnstengel, M.D.

  • Family Medicine Physician
  • Savannah, GA
  • NPI 1356410112
  Medicare reassignment Care Compare group
• Wilma R Cote, FNP-BC

  • Nurse Practitioner
  • Jesup, GA
  • NPI 1932419736
  Medicare reassignment NPD
• Sheryl Turner Cox, FNP-BC

  • Family Nurse Practitioner
  • Alma, GA
  • NPI 1558808626

  Multi-Specialty

  Medicare reassignment NPD
• Ren R Halverson, D.C. P.C.

  • Chiropractor
  • Brunswick, GA
  • NPI 1194791020
  NPD (past)
• Halei Alise Kirkland, FNP-BC

  • Family Nurse Practitioner
  • Jesup, GA
  • NPI 1063043651
  NPD (past)
• William Reid Lawson, PT,DPT

  • Physical Therapist
  • Jesup, GA
  • NPI 1821329269
  NPD (past)
• Joshua Brett Mizell, D.C.

  • Chiropractor
  • Douglas, GA
  • NPI 1417249343
  NPD (past)
• Wilbert Carl Jenkins Jr., M.D.

  • Family Medicine Physician
  • Greensboro, NC
  • NPI 1740263235
  NPD (past)
• Dana T Sineath, FNP-C

  • Family Nurse Practitioner
  • Walla Walla, WA
  • NPI 1962613059
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1891891255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 S 1ST ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315451132",
            "telephone_number": "912-427-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 S 1ST ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315451132",
            "telephone_number": "912-427-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-427-8433",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 007 Eyes, LLC
• Absolute Precision Chiropractic Incorporated
• Advanced Medical Resources of Wayne County, LLC
• Isaac Ahn
• Air Evac EMS Inc (Air Evac Lifeteam)
• Altamaha DME (jones medical equipment)
• Altamaha DME, Inc (Coastal Medical Equipment & Uniforms)

• Multi-Specialty Clinic/Center in Jesup, GA
• Providers in Jesup, GA by specialty
• Multi-Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.