Advanced Vascular and Wound Care PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 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

Last updated

May 16, 2025By 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

Justin Parden, MDNPI 1578790895

Title

Owner/Ao

Phone

(334) 659-4717

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 3

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.

• Justin Alexander Parden, M.D.

  • Vascular Surgery Physician
  • Montgomery, AL
  • NPI 1578790895
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer Farrior, CRNP

  • Acute Care Nurse Practitioner
  • Montgomery, AL
  • NPI 1467166975
  Medicare reassignment Care Compare group NPD
• Stephen Roy Parden, MD

  • Surgery Physician
  • Fairhope, AL
  • NPI 1982618260
  Medicare reassignment NPD

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1962293084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7956 VAUGHN RD STE 165",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361166819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 JOSIE RUN",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360667362",
            "telephone_number": "334-659-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED VASCULAR AND WOUND CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "PARDEN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER/AO",
        "authorized_official_telephone_number": "334-659-4717",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Aseel Abdelaziz
• Munazzah Abdullah, MD
• Martha Acton, DMD
• Agilitas USA, Inc (Results Physiotherapy)
• Jivelisse Aguila-Cintron, PH. D.
• Michael James Ainscough, M.D.
• Alabama CVS Pharmacy LLC (CVS Pharmacy #17348)
• Alabama CVS Pharmacy, L.L.C. (CVS Pharmacy #04944)

• Vascular Surgery Physician in Prattville, AL
• Providers in Prattville, AL by specialty
• Vascular Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.

Verify at the official NPI Registry.