ADVANCED PRO WOUND CARE LLC
NPI 1437942786
Nurse Practitioner - Family in Douglasville, GA

Active since May 28, 2025
6575 SPRING ST, DOUGLASVILLE, GA 30134(678) 549-2323(404) 609-1268 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 7, 2026, Jun 20, 2025, May 28, 2025 (3 updates tracked since 2025).

About Advanced Pro Wound Care Llc NPPES

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

ADVANCED PRO WOUND CARE LLC (NPI 1437942786) is a healthcare organization registered as a family in Douglasville, Georgia and active in the NPI registry since May 2025. The organization lists Kay Y Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1437942786
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameADVANCED PRO WOUND CARE LLC
Location Address6575 SPRING STDouglasville, GA 30134-1890
Mailing Address6575 Spring StDouglasville, GA 30134-1890 · (678) 549-2323 · Fax (404) 609-1268
Fax(404) 609-1268
Organization SubpartNo
Authorized OfficialKay Y JohnsonOwner · (123) 456-7890
Enumeration DateMay 28, 2025
Last NPPES UpdateJanuary 7, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
✔ NPI 1437942786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
6575 SPRING ST, Douglasville, GA 30134

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Pro Wound Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Advanced Pro Wound Care LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1407209455
261 TWAIN CIR SE
Mableton, GA 30126
(404) 667-9960
✔ PECOS11 mi
Nurse Practitioner
NPI 1467100487
3915 CASCADE RD SW STE T-90
Atlanta, GA 30331
(404) 564-7749
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1790167856
3001 LUSK DR
Smyrna, GA 30080
(678) 309-9977
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1285013714
2790 SANDY PLAINS RD STE 202
Marietta, GA 30066
(678) 777-4336
✔ PECOS✔ Accepts Medicare24 mi

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 Pro Wound Care LLC's NPI number?

The NPI number for Advanced Pro Wound Care LLC is 1437942786. It was assigned to this organization in the NPPES registry on May 28, 2025.

Where is Advanced Pro Wound Care LLC located?

Advanced Pro Wound Care LLC is located at 6575 Spring St, Douglasville, GA 30134. The listed phone number is (678) 549-2323.

What is Advanced Pro Wound Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Advanced Pro Wound Care LLC enrolled in Medicare?

Yes. Advanced Pro Wound Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Pro Wound Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Advanced Pro Wound Care 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.

When was this NPI record last updated?

The NPPES record for Advanced Pro Wound Care LLC was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.