Advanced Vascular and Wound Care PC

Key facts

NPI: 1962293084
Entity type: Organization (NPI type 2)
Primary specialty: Vascular Surgery Physician 2086S0129X
Legal business name: ADVANCED VASCULAR AND WOUND CARE PC
Practice address: 104 Josie Run
Prattville, AL 36066-7362
Phone: (334) 659-4717
NPI assigned: May 16, 2025
Organization subpart: No

Authorized official

Name: Justin Parden, MD
Title: Owner/Ao
Phone: (334) 659-4717

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Jennifer Farrior, CRNP Acute Care Nurse Practitioner · Montgomery, AL · NPI 1467166975

Medicare reassignment Care Compare group NPD AL
Justin Alexander Parden, M.D. Vascular Surgery Physician · Montgomery, AL · NPI 1578790895

Medicare reassignment Care Compare group NPD AL · VASCULAR SURGERY
Stephen Roy Parden, MD Surgery Physician · Fairhope, AL · NPI 1982618260

Medicare reassignment NPD AL

Medicare participation

Medicare fee-for-service enrollment: Enrolled in AL

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20250707000828	AL	Part B Supplier - Clinic/Group Practice	2062926777	Receives reassigned benefits from 3 practitioners Practice locations: Clanton, AL; Prattville, AL; Tallassee, AL

National Provider Directory

Locations

104 Josie Run
Prattville, AL 36066
Phone (334) 659-4717

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician Group: 193200000X MULTI-SPECIALTY GROUP	207Q00000X
Vascular Surgery Physician Group: 193200000X MULTI-SPECIALTY GROUP	2086S0129X			Yes

Addresses

Primary practice location

104 Josie Run
Prattville, AL 36066-7362

Mailing address

7956 Vaughn Rd Ste 165
Montgomery, AL 36116-6819

Other providers in Prattville, AL

All providers in Prattville, AL · Vascular Surgery Physician in Alabama

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.