ADVANCED DIABETES MANAGEMENT CENTER LLC
NPI 1528465424
Nurse Practitioner - Family in Tupelo, MS

Q: What is Advanced Diabetes Management Center LLC's specialty?

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

Active since November 21, 2014

449 GLOSTER CREEK, SUITE H-9, TUPELO, MS 38801(662) 842-7840(662) 842-7873 Get Directions Write a Review

NPPES record last updated: January 27, 2015. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Advanced Diabetes Management Center Llc NPPES

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

ADVANCED DIABETES MANAGEMENT CENTER LLC (NPI 1528465424) is a healthcare organization registered as a family in Tupelo, Mississippi and active in the NPI registry since November 2014. The organization lists Nativel Collins, Np/owner, as its authorized official.

NPPES Registry Identity

NPI1528465424

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameADVANCED DIABETES MANAGEMENT CENTER LLC

Location Address449 GLOSTER CREEK, SUITE H-9Tupelo, MS 38801-0000

Mailing Address449 Gloster Creek, Suite H-9Tupelo, MS 38801-0000 · (662) 842-7840 · Fax (662) 842-7873

Phone(662) 842-7840

Fax(662) 842-7873

Organization SubpartNo

Authorized OfficialNativel CollinsNp/owner · (662) 842-7840

Enumeration DateNovember 21, 2014

Last NPPES UpdateJanuary 27, 2015

✔ NPI 1528465424 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

License✔ Licensed in MS · R873068

449 GLOSTER CREEK, Tupelo, MS 38801

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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

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 Diabetes Management Center LLC's NPI number?

The NPI number for Advanced Diabetes Management Center LLC is 1528465424. It was assigned to this organization in the NPPES registry on November 21, 2014.

Where is Advanced Diabetes Management Center LLC located?

Advanced Diabetes Management Center LLC is located at 449 Gloster Creek Suite H-9, Tupelo, MS 38801. The listed phone number is (662) 842-7840.

What is Advanced Diabetes Management Center LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Advanced Diabetes Management Center LLC was last updated on January 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.