THEADVANCEDMED LLC
NPI 1548028012
Clinic/Center - Multi-Specialty in Mcdonough, GA

Active since March 11, 2024CLIA 11D2338420 · Waiver
1505 PENNSYLVANIA AVE, MCDONOUGH, GA 30253(404) 706-6371 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theadvancedmed Llc NPPES

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

THEADVANCEDMED LLC (NPI 1548028012) is a healthcare organization registered as a multi-specialty in Mcdonough, Georgia and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through February 9, 2028 and lists Onyebuchi Nwaokolo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1548028012
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameTHEADVANCEDMED LLC
Location Address1505 PENNSYLVANIA AVEMcdonough, GA 30253-9114
Mailing Address1012 Spaniel TerHampton, GA 30228-5951 · (404) 218-8934
Organization SubpartNo
Authorized OfficialOnyebuchi NwaokoloCeo · (404) 706-6371
Enumeration DateMarch 11, 2024
NPPES CertifiedMarch 10, 2024
NPI 1548028012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
1505 PENNSYLVANIA AVE, Mcdonough, GA 30253

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2338420

Theadvancedmed, LLC · Mcdonough, GA
Active · expires Feb 9, 2028
CLIA Number11D2338420
Laboratory TypeIndependent
Certificate Effective DateFebruary 10, 2026
Certificate Expiration DateFebruary 9, 2028
Laboratory DirectorOnyebuchi Nwaokolo
Laboratory Phone(404) 218-8934
Laboratory LocationTheadvancedmed, LLC1725 Pennsylvania Ave, Mcdonough, GA 30253
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Psychiatric/Mental Health)
1505 PENNSYLVANIA AVE
MCDONOUGH, GA 30253
Counselor
1505 PENNSYLVANIA AVE
MCDONOUGH, GA 30253

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 Theadvancedmed LLC's NPI number?

The NPI number for Theadvancedmed LLC is 1548028012. It was assigned to this organization in the NPPES registry on March 11, 2024.

Where is Theadvancedmed LLC located?

Theadvancedmed LLC is located at 1505 Pennsylvania Ave, Mcdonough, GA 30253. The listed phone number is (404) 706-6371.

What is Theadvancedmed LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Theadvancedmed LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2338420) is associated with this NPI, valid through February 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Theadvancedmed LLC was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.