ADVANCED HEALTH CARE CENTER
NPI 1891891255
Clinic/Center - Multi-Specialty in Jesup, GA

Active since September 15, 2006CLIA 11D1034001 · Waiver

NPPES record last updated: February 16, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Advanced Health Care Center NPPES

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

ADVANCED HEALTH CARE CENTER (NPI 1891891255) is a healthcare organization registered as a multi-specialty in Jesup, Georgia and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through November 21, 2026 and lists Edwin F. Davis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1891891255
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameADVANCED HEALTH CARE CENTER
Location Address391 S 1ST STJesup, GA 31545-1132
Mailing Address391 S 1st StJesup, GA 31545-1132 · (912) 427-8433
Organization SubpartNo
Authorized OfficialEdwin F. DavisCeo · (912) 427-8433
Enumeration DateSeptember 15, 2006
Last NPPES UpdateFebruary 16, 2011
✔ NPI 1891891255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
391 S 1ST ST, Jesup, GA 31545

Other Identifiers 1

Medicare NSC6268180001GA

Accepted 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)

Advanced Health Care Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Advanced Health Care Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1932419736
391 SOUTH FIRST ST.
Jesup, GA 31545
(912) 427-8433
✔ PECOSSame address
Chiropractic
NPI 1083714497
391 S 1ST ST
Jesup, GA 31545
(912) 427-8433
✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1376434142
391 S 1ST ST
Jesup, GA 31545
(912) 427-8433
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1558808626
204 E 15TH ST
Alma, GA 31510
(912) 632-2952
✔ PECOS✔ Accepts Medicare34 mi
Family Practice
NPI 1356410112
340 EISENHOWER DRIVE STE.610
Savannah, GA 31406
(912) 354-4044
✔ PECOS✔ Accepts Medicare54 mi
Nurse Practitioner
NPI 1881430437
4565 US HIGHWAY 17 STE 106
Fleming Island, FL 32003
(904) 269-4559
✔ PECOS✔ Accepts Medicare103 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 11D1034001

Advanced Health Care Center · Jesup, GA
Active · expires Nov 21, 2026
CLIA Number11D1034001
Laboratory TypePhysician Office
Certificate Effective DateNovember 22, 2024
Certificate Expiration DateNovember 21, 2026
Laboratory DirectorSandra K. Bohnstengel
Laboratory Phone(912) 427-8433
Laboratory LocationAdvanced Health Care Center391 South First Street, Jesup, GA 31545
CLIA data matches this NPI record on: Name Phone
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 Health Care Center's NPI number?

The NPI number for Advanced Health Care Center is 1891891255. It was assigned to this organization in the NPPES registry on September 15, 2006.

Where is Advanced Health Care Center located?

Advanced Health Care Center is located at 391 S 1st St, Jesup, GA 31545. The listed phone number is (912) 427-8433.

What is Advanced Health Care Center's specialty?

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

Is Advanced Health Care Center enrolled in Medicare?

Yes. Advanced Health Care Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Health Care Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Advanced Health Care Center. 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), Chiropractic (1) and Family Practice (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Health Care Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1034001) is associated with this NPI, valid through November 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Health Care Center accept?

Health plans from Alliant Health Plans, Inc. and Ambetter Health list Advanced Health Care Center 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 Advanced Health Care Center was last updated on February 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.