Advance Medical Academy LLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

ADVANCE MEDICAL ACADEMY LLC

Practice address

912 Mitchell Dr
Camden, SC 29020-4125

Phone

(803) 729-6503

NPI assigned

Jun 2, 2022

Organization subpart

No

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

Authorized official

Name

Barbara Buckener-Stubbs, LPN

Title

Licensed Practical Nurse

Phone

(803) 729-6503

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1942949458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 MITCHELL DR",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204125",
            "telephone_number": "803-729-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 MITCHELL DR",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204125",
            "telephone_number": "803-729-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE MEDICAL ACADEMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "BUCKENER-STUBBS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "LICENSED PRACTICAL NURSE",
        "authorized_official_telephone_number": "803-729-6503",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alycia Strickland Abdulla, FNP-BC
• Henry Matthew Adams
• Shana Watkins Adams
• Mary Lee Addis, APN
• Jennifer Adkins, PHARMD
• Advanced in Home Care LLC
• Aftercare Home Medical Equipment, Inc
• Agape Medical Solutions LLC
• Lydia Rose Akins, DPT
• Alala LLC

• All providers in Camden, SC
• Public Health or Welfare Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.