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: August 09, 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
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

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

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
7731 OLD CANTON RD
MADISON, MS 39110

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.

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

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee 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.