PRESTIGE ADVANCED HEALTHCARE
NPI 1942736160
Clinic/Center - Primary Care in Lagrange, GA

Active since May 08, 2017
102 MAIN ST STE 204, LAGRANGE, GA 30240(706) 756-5317(844) 740-1379 Get Directions Write a Review

NPPES record last updated: October 18, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 18, 2018, Oct 24, 2017, May 8, 2017 (3 updates tracked since 2017).

About Prestige Advanced Healthcare NPPES

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

PRESTIGE ADVANCED HEALTHCARE (NPI 1942736160) is a healthcare organization registered as a primary care in Lagrange, Georgia and active in the NPI registry since May 2017. The organization lists Cierra Nicole Williams, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1942736160
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePRESTIGE ADVANCED HEALTHCARE
Location Address102 MAIN ST STE 204Lagrange, GA 30240-3225
Mailing Address43 Brisbane CtNewnan, GA 30263-2370 · (470) 295-9981 · Fax (844) 740-1379
Fax(844) 740-1379
Organization SubpartNo
Authorized OfficialCierra Nicole WilliamsNurse Practitioner · (470) 295-9981
Enumeration DateMay 8, 2017
Last NPPES UpdateOctober 18, 20183 updates tracked since enumeration
NPI 1942736160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in GA · 233631
102 MAIN ST STE 204, Lagrange, GA 30240

Other Identifiers 1

Other1730557752GA · Nurse Practitioner

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)
102 MAIN ST STE 204
LAGRANGE, GA 30240

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 Prestige Advanced Healthcare's NPI number?

The NPI number for Prestige Advanced Healthcare is 1942736160. It was assigned to this organization in the NPPES registry on May 8, 2017.

Where is Prestige Advanced Healthcare located?

Prestige Advanced Healthcare is located at 102 Main St Ste 204, Lagrange, GA 30240. The listed phone number is (706) 756-5317.

What is Prestige Advanced Healthcare's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Prestige Advanced Healthcare was last updated on October 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.