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MISSISSIPPI CENTER FOR ADVANCED MEDICINE, PC
NPI 1508426917
Specialist in Slidell, LA

Active since June 18, 2019
2053 GAUSE BLVD E STE 200, SLIDELL, LA 70461(985) 259-8045(601) 499-0936 Get Directions Write a Review

NPPES record last updated: June 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mississippi Center For Advanced Medicine, Pc NPPES

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

MISSISSIPPI CENTER FOR ADVANCED MEDICINE, PC (NPI 1508426917), doing business as Louisiana Center For Advanced Medicine, is a healthcare organization registered as a specialist in Slidell, Louisiana and active in the NPI registry since June 2019. The organization lists Spencer K Sullivan, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1508426917
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMISSISSIPPI CENTER FOR ADVANCED MEDICINE, PC
Location Address2053 GAUSE BLVD E STE 200Slidell, LA 70461-5451
Mailing Address7731 Old Canton Rd Ste BMadison, MS 39110-6115 · (601) 499-0935 · Fax (601) 499-0936
Phone(985) 259-8045
Fax(601) 499-0936
Organization SubpartYes
Authorized OfficialSpencer K SullivanCeo/owner · (601) 499-0935
Enumeration DateJune 18, 2019
✔ NPI 1508426917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2053 GAUSE BLVD E STE 200, Slidell, LA 70461
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Other Names 1

Doing Business AsLouisiana Center For Advanced Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISSISSIPPI CENTER FOR ADVANCED MEDICINE, PC
Pharmacy (Community/Retail Pharmacy)
2053 GAUSE BLVD E STE 200
SLIDELL, LA 70461
St. Tammany Parish (985) 259-8045

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 Mississippi Center For Advanced Medicine, PC's NPI number?

The NPI number for Mississippi Center For Advanced Medicine, PC is 1508426917. It was assigned to this organization in the NPPES registry on June 18, 2019. The provider is doing business as Louisiana Center for Advanced Medicine.

Where is Mississippi Center For Advanced Medicine, PC located?

Mississippi Center For Advanced Medicine, PC is located at 2053 Gause Blvd E Ste 200, Slidell, LA 70461. The listed phone number is (985) 259-8045.

What is Mississippi Center For Advanced Medicine, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mississippi Center For Advanced Medicine, PC was last updated on June 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.