ADVANCED CLINICAL CONSULTANTS PLLC
NPI 1609570563
Nurse Practitioner - Family in Kings Mountain, KY

Active since March 27, 2023CLIA 18D2284600 · Waiver
24 OLD SOUTH FORK RD, KINGS MOUNTAIN, KY 40442(606) 448-0693 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advanced Clinical Consultants Pllc NPPES

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

ADVANCED CLINICAL CONSULTANTS PLLC (NPI 1609570563) is a healthcare organization registered as a family in Kings Mountain, Kentucky and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through June 26, 2027 and lists Glen Ware, Owner, as its authorized official.

NPPES Registry Identity

NPI1609570563
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameADVANCED CLINICAL CONSULTANTS PLLC
Location Address24 OLD SOUTH FORK RDKings Mountain, KY 40442-9702
Mailing Address24 Old South Fork RdKings Mountain, KY 40442-9702 · (606) 448-0693
Organization SubpartNo
Authorized OfficialGlen WareOwner · (606) 448-0693
Enumeration DateMarch 27, 2023
NPPES CertifiedMarch 27, 2023
NPI 1609570563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinical Nurse Specialist · Home HealthTaxonomy 364SH0200X
24 OLD SOUTH FORK RD, Kings Mountain, KY 40442

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 18D2284600

Advanced Clinical Consultants, PLLC · Kings Mountain, KY
Active · expires Jun 26, 2027
CLIA Number18D2284600
Laboratory TypeMobile Laboratory
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorMr. Glen Ware
Laboratory Phone(606) 448-0693
Laboratory LocationAdvanced Clinical Consultants, PLLC24 Old Southfork Road, Kings Mountain, KY 40442
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

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

Nurse Practitioner (Family)
24 OLD SOUTH FORK RD
KINGS MOUNTAIN, KY 40442

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 Clinical Consultants PLLC's NPI number?

The NPI number for Advanced Clinical Consultants PLLC is 1609570563. It was assigned to this organization in the NPPES registry on March 27, 2023.

Where is Advanced Clinical Consultants PLLC located?

Advanced Clinical Consultants PLLC is located at 24 Old South Fork Rd, Kings Mountain, KY 40442. The listed phone number is (606) 448-0693.

What is Advanced Clinical Consultants PLLC's specialty?

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

Does Advanced Clinical Consultants PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2284600) is associated with this NPI, valid through June 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Clinical Consultants PLLC was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.