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ADVANCED MOBILE WOUND CARE, LLC
NPI 1790523116
General Practice in Greenville, SC

Active since July 18, 2024CLIA 42D2344509 · Waiver
56 POINTE CIR STE 100, GREENVILLE, SC 29615(888) 459-6863 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Advanced Mobile Wound Care, Llc NPPES

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

ADVANCED MOBILE WOUND CARE, LLC (NPI 1790523116) is a healthcare organization registered as a general practice in Greenville, South Carolina and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through May 25, 2028 and lists Elliot Hirshorn, Owner, as its authorized official.

NPPES Registry Identity

NPI1790523116
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameADVANCED MOBILE WOUND CARE, LLC
Location Address56 POINTE CIR STE 100Greenville, SC 29615-3506
Mailing Address56 Pointe Cir Ste 100Greenville, SC 29615-3506
Phone(888) 459-6863
Organization SubpartNo
Authorized OfficialElliot HirshornOwner · (864) 881-4595
Enumeration DateJuly 18, 2024
NPPES CertifiedJuly 18, 2024
✔ NPI 1790523116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
56 POINTE CIR STE 100, Greenville, SC 29615
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Mobile Wound Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Advanced Mobile Wound Care, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Yaima Fonseca
Nurse Practitioner
NPI 1225854094
56 POINTE CIR STE 200
Greenville, SC 29615
(864) 519-0121
✔ PECOS✔ Accepts MedicareSame address
Trishia Davis, FNP-C
Nurse Practitioner
NPI 1225775380
913 E MAIN ST
Laurens, SC 29360
(864) 214-2800
✔ PECOS✔ Accepts Medicare31 mi
Gloria Britt, APN
Nurse Practitioner
NPI 1770315301
1850 LAUREL ST STE A
Columbia, SC 29201
(803) 376-5982
✔ PECOS✔ Accepts Medicare95 mi
Eric Gruenberger, MD
General Surgery
NPI 1174975734
232 BENT HOLLY DR
Columbia, SC 29209
(443) 812-5989
✔ PECOS✔ Accepts Medicare97 mi
Madison Nicksic, FNP-BC
Nurse Practitioner
NPI 1609602275
1006 FORDING ISLAND RD
Bluffton, SC 29910
(866) 389-2727
✔ PECOS199 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 42D2344509

Advanced Mobile Wound Care, LLC · Greenville, SC
Active · expires May 25, 2028
CLIA Number42D2344509
Laboratory TypePhysician Office
Certificate Effective DateMay 26, 2026
Certificate Expiration DateMay 25, 2028
Laboratory DirectorXavier Pearson
Laboratory Phone(864) 519-0121
Laboratory LocationAdvanced Mobile Wound Care, LLC56 Pointe Circle, Greenville, SC 29615
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Mobile Wound Care, LLC's NPI number?

The NPI number for Advanced Mobile Wound Care, LLC is 1790523116. It was assigned to this organization in the NPPES registry on July 18, 2024.

Where is Advanced Mobile Wound Care, LLC located?

Advanced Mobile Wound Care, LLC is located at 56 Pointe Cir Ste 100, Greenville, SC 29615. The listed phone number is (888) 459-6863.

What is Advanced Mobile Wound Care, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Advanced Mobile Wound Care, LLC enrolled in Medicare?

Yes. Advanced Mobile Wound Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Mobile Wound Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Advanced Mobile Wound Care, LLC. 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 Nurse Practitioner (4) and General Surgery (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Mobile Wound Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2344509) is associated with this NPI, valid through May 25, 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 Advanced Mobile Wound Care, LLC was last updated on July 18, 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.