ADVANCED MEDICAL GROUP LLC (NPI# 1699274167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699274167 |
| Entity Type | Organization |
| Organization Name | ADVANCED MEDICAL GROUP LLC |
| Other Organization Name | WRENS DRUG |
| Practice Address |
206 E Broad St Wrens GA 30833-1109 |
| Mailing Address |
Po Box 1860 Langley SC 29834-1860 |
| Practice Telephone | 7065472225 |
| Practice Fax Number | 7065473012 |
| Mailing Telephone | 7065472225 |
| Mailing Fax Number | 8882731488 |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-05-17 |
| Authorized Official Name | KELLIE RAWLINS (VP) |
| Authorized Official Telephone | 6786892389 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE010430 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 744933579A | 05 | |
| PK | 2175805 | 01 |
| Other Name | Type Code |
|---|---|
| Wrens Drug | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295784270 | Advanced Medical Group LLC | Pharmacy | 108 S Broad St, Thomasville, GA 31792-5541 | 2006-05-08 |
| 1659346542 | Advanced Medical Group LLC | Durable Medical Equipment & Medical Supplies | 2820 Augusta Rd, Langley, SC 29834 | 2006-02-22 |
| 1619260189 | Advanced Medical Group LLC | Obstetrics & Gynecology | 145 Route 46 W, Suite 304, Wayne, NJ 07470-6830 | 2011-05-17 |
| 1255585097 | Advanced Medical Group LLC | Specialist | 15835 S 46th St, Ste. 132, Phoenix, AZ 85048-0446 | 2008-11-06 |
| Street Address |
206 E BROAD ST |
| City | WRENS |
| State | GA |
| Zip Code | 30833-1109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007072 | Emile Lugand Carr | Pharmacist | 206 E Broad St, Wrens, GA 30833-1109 | 2020-09-14 |
| 1578771580 | Wrens Drug Inc | Pharmacy | 206 E Broad St, Wrens, GA 30833-1109 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760815773 | Neighborhood Improvement Project, Inc | Clinic/Center | 501 East Broad Street, Wrens, GA 30833 | 2013-08-13 |
| 1275941932 | David Franklin Chance | Driver | 404 Ellis St, Wrens, GA 30833-1013 | 2014-07-25 |
| 1518917590 | Freds Stores of Tennessee Inc | Pharmacy | 106 Broad St, Wrens, GA 30833-1107 | 2006-05-11 |
| 1730266867 | Thomas Veal Kitchens | Chiropractor | 203 Broad St, Wrens, GA 30833-1110 | 2006-11-01 |
| 1851334015 | Medical Specialists | Family Medicine | 406 E Broad St, Wrens, GA 30833-1113 | 2006-06-14 |
| 1609205285 | New Life Chiropractic | Chiropractor | 305 N Main St, Wrens, GA 30833-1140 | 2013-11-05 |
| 1255817169 | Joylove Matlin Felder | Nurse Practitioner | 623 N Main St, Wrens, GA 30833-1178 | 2018-07-13 |
| 1952712689 | Community Health Care Systems, Inc. | Clinic/Center | 623 N Main St, Wrens, GA 30833-1178 | 2014-05-15 |
| 1104875020 | William E Real Jr. | Dentist | 403 Canterbury Drive, Wrens, GA 30833-1185 | 2006-05-08 |
| 1033117684 | James Milton Ford | Family Medicine | 501 Broad St, Wrens, GA 30833-1185 | 2005-07-08 |
| Find all providers in zip 30833 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518917590 | Freds Stores of Tennessee Inc | Pharmacy | 106 Broad St, Wrens, GA 30833-1107 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922441 | Southern Pharmacy Group LLC | Pharmacy | 110 Allison St., Jesup, GA 31545 | 2020-11-04 |
| 1184225526 | Svdp Georgia Community Pharmacy LLC | Pharmacy | 2050 Chamblee Tucker Rd Ste C, Chamblee, GA 30341-3343 | 2020-11-03 |
| 1194325860 | Panola Pharmacy LLC | Pharmacy | 2348 Panola Rd Unit C, Lithonia, GA 30058-5406 | 2020-10-30 |
| 1659971539 | Bob and Jeff's Hometown Pharmacy of Thomasville, LLC | Pharmacy | 309 Smith Ave, Thomasville, GA 31792-5534 | 2020-10-29 |
| 1679171979 | Dfg LLC | Pharmacy | 638 Historic Hwy 441 Suite A, Demorest, GA 30530 | 2020-10-09 |
| 1033716915 | Au Medical Center, Inc. | Pharmacy | 818 Saint Sebastian Way Ste 402, Augusta, GA 30901-2654 | 2020-10-05 |
| 1043817208 | Mlk Pharmacy2.0 | Pharmacy | 2457 Mlk Jr Dr Sw Ste A, Atlanta, GA 30311-1712 | 2020-10-01 |
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1205446341 | Sunny Pharmacy | Pharmacy | 5364 Jonesboro Rd, Lake City, GA 30260-3557 | 2020-08-04 |
| 1841818044 | Hospital Authority of Miller County | Pharmacy | 213 Delores Street, Colquitt, GA 39837 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.