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MISSISSIPPI CENTER FOR ADVANCED MEDICINE, PC
NPI 1790227627
Specialist in Madison, MS

Active since November 09, 2016
7731 OLD CANTON RD, SUITE B, MADISON, MS 39110(601) 499-0935(601) 499-0936 Get Directions Write a Review

NPPES record last updated: December 21, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 21, 2016, Nov 9, 2016 (2 updates tracked since 2016).

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 1790227627) is a healthcare organization registered as a specialist in Madison, Mississippi and active in the NPI registry since November 2016. The organization lists Spencer K Sullivan, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1790227627
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMISSISSIPPI CENTER FOR ADVANCED MEDICINE, PC
Location Address7731 OLD CANTON RD, SUITE BMadison, MS 39110-6114
Mailing Address7731 Old Canton Rd, Suite BMadison, MS 39110-6114 · (601) 499-0935 · Fax (601) 499-0936
Phone(601) 499-0935
Fax(601) 499-0936
Organization SubpartNo
Authorized OfficialSpencer K SullivanPresident/ceo · (601) 499-0935
Enumeration DateNovember 9, 2016
Last NPPES UpdateDecember 21, 20162 updates tracked since enumeration
✔ NPI 1790227627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MS · 23304
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.
7731 OLD CANTON RD, Madison, MS 39110
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Other Identifiers 2

Medicaid01212067MS
Medicare PIN355923YJ5DMS

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mississippi Center For Advanced Medicine, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Mississippi Center For Advanced Medicine, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Pediatric Medicine7
Allergy/Immunology3
Obstetrics/Gynecology2
Clinical Social Worker1
Plastic and Reconstructive Surgery1

Clinicians, nearest first (14)

Natalie Rudsenske, MD
Allergy/Immunology
NPI 1710483532
7730 OLD CANTON RD BLDG B
Madison, MS 39110
(601) 499-0935
✔ PECOSSame address
Patricia Stewart, M.D.
Allergy/Immunology
NPI 1689803918
7730 OLD CANTON RD BLDG B
Madison, MS 39110
(601) 499-0935
✔ PECOSSame address
Kerstin Gerhold, MD
Pediatric Medicine
NPI 1487231874
7730 OLD CANTON RD BLDG A
Madison, MS 39110
(601) 499-0935
✔ PECOS0.1 mi
Rebecca Mcvan, LCSW
Clinical Social Worker
NPI 1770246290
401 BAPTIST DR STE 301
Madison, MS 39110
(601) 499-0935
✔ PECOS✔ Accepts Medicare1.9 mi
Whitney Herring, M.D., M.P.H.
Pediatric Medicine
NPI 1417269275
803 LIBERTY RD
Flowood, MS 39232
(601) 714-1967
✔ PECOS8.3 mi
Sharon Pennington, M.D.
Pediatric Medicine
NPI 1801015136
803 LIBERTY RD
Flowood, MS 39232
(601) 714-1967
✔ PECOS✔ Accepts Medicare8.3 mi
Tamina Mcmillan, MD
Pediatric Medicine
NPI 1740297878
1200 N STATE ST STE 180
Jackson, MS 39202
(601) 414-0484
✔ PECOS11 mi
Melynda Noble, MD
Pediatric Medicine
NPI 1598734808
1200 N STATE ST STE 180
Jackson, MS 39202
(601) 414-0484
✔ PECOS11 mi
Jasmine Sandhu, M.D.
Pediatric Medicine
NPI 1154584811
1200 N STATE ST STE 180
Jackson, MS 39202
(601) 414-0484
✔ PECOS11 mi
Cynthia Bean, MD
Obstetrics/Gynecology
NPI 1861600595
214 DRAPERTON DR
Ridgeland, MS 39157
(601) 973-7405
✔ PECOS✔ Accepts Medicare18 mi
James Hogg, M.D.
Obstetrics/Gynecology
NPI 1275929705
214 DRAPERTON DR
Ridgeland, MS 39157
(601) 973-7405
✔ PECOS18 mi
Sana Bhatti, M.D.
Plastic and Reconstructive Surgery
NPI 1821351107
4715 24TH PL
Meridian, MS 39305
(601) 693-7742
✔ PECOS✔ Accepts Medicare82 mi
Jessica Lilley, M.D.
Pediatric Medicine
NPI 1093912479
330 W JEFFERSON ST
Tupelo, MS 38804
(624) 320-2006
✔ PECOS148 mi
Ray Rodriguez, MD
Allergy/Immunology
NPI 1154324366
1605 S 31ST ST
Temple, TX 76508
(254) 724-2111
✔ PECOS✔ Accepts Medicare437 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 Mississippi Center For Advanced Medicine, PC's NPI number?

The NPI number for Mississippi Center For Advanced Medicine, PC is 1790227627. It was assigned to this organization in the NPPES registry on November 9, 2016.

Where is Mississippi Center For Advanced Medicine, PC located?

Mississippi Center For Advanced Medicine, PC is located at 7731 Old Canton Rd Suite B, Madison, MS 39110. The listed phone number is (601) 499-0935.

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

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

Is Mississippi Center For Advanced Medicine, PC enrolled in Medicare?

Yes. Mississippi Center For Advanced Medicine, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mississippi Center For Advanced Medicine, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 5 Medicare specialties reassign their Medicare billing to Mississippi Center For Advanced Medicine, PC. 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. The largest specialties are Pediatric Medicine (7), Allergy/Immunology (3) and Obstetrics/Gynecology (2). Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mississippi Center For Advanced Medicine, PC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Mississippi Center For Advanced Medicine, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mississippi Center For Advanced Medicine, PC was last updated on December 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.