ADVANCED MEDICAL, LLC
NPI 1205900958
Pharmacy - Home Infusion Therapy Pharmacy in Ridgeland, MS

Q: What is Advanced Medical, LLC's NPI number?

The NPI number for Advanced Medical, LLC is 1205900958. It was assigned to this organization in the NPPES registry on November 17, 2006.

Q: What is Advanced Medical, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Home Infusion Therapy Pharmacy, with taxonomy code 3336H0001X.

Active since November 17, 2006

625 S PEAR ORCHARD RD STE A, RIDGELAND, MS 39157(769) 233-8484 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 17, 2026, Dec 3, 2025, Oct 10, 2025 and 2 more (5 updates tracked since 2023).

On this page

About Advanced Medical, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED MEDICAL, LLC (NPI 1205900958) is a healthcare organization registered as a home infusion therapy pharmacy in Ridgeland, Mississippi and active in the NPI registry since November 2006. The organization lists Greg Kaniecki, Evp, Growth & Operations, as its authorized official.

NPPES Registry Identity

NPI1205900958

Entity TypeOrganization

Primary Taxonomy3336H0001X

Legal Business NameADVANCED MEDICAL, LLC

Location Address625 S PEAR ORCHARD RD STE ARidgeland, MS 39157-4836

Mailing Address625 S Pear Orchard Rd Ste ARidgeland, MS 39157-4811 · (769) 233-8484 · Fax (769) 233-8051

Phone(769) 233-8484

Organization SubpartNo

Authorized OfficialGreg KanieckiEvp, Growth & Operations · (769) 233-8484

Enumeration DateNovember 17, 2006

Last NPPES UpdateJuly 17, 20265 updates tracked since enumeration

NPPES CertifiedJuly 17, 2026

✔ NPI 1205900958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyPharmacy · Home Infusion Therapy PharmacySuppliers

Taxonomy Code3336H0001X

Definition

Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.

Also ListedHome InfusionTaxonomy 251F00000X

Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X

Also ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Mail Order PharmacyTaxonomy 3336M0002X

Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X

Also ListedNurse PractitionerTaxonomy 363L00000X

625 S PEAR ORCHARD RD STE A, Ridgeland, MS 39157

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Other Identifiers 1

Medicaid07126704MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Medical, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Advanced Medical, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tonya Mayers-Sherman, FNP-C

Nurse Practitioner

NPI 1023686458

625 S PEAR ORCHARD RD STE B
Ridgeland, MS 39157

(769) 233-8484

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Medical, LLC's NPI number?

The NPI number for Advanced Medical, LLC is 1205900958. It was assigned to this organization in the NPPES registry on November 17, 2006.

Where is Advanced Medical, LLC located?

Advanced Medical, LLC is located at 625 S Pear Orchard Rd Ste A, Ridgeland, MS 39157. The listed phone number is (769) 233-8484.

What is Advanced Medical, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Home Infusion Therapy Pharmacy, with taxonomy code 3336H0001X.

Is Advanced Medical, LLC enrolled in Medicare?

Yes. Advanced Medical, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Medical, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Advanced Medical, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Medical, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 34 other insurers list Advanced Medical, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Medical, LLC was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.