ADVANCED VASCULAR AND WOUND CARE PC
NPI 1962293084
Surgery - Vascular Surgery in Prattville, AL

Active since May 16, 2025
104 JOSIE RUN, PRATTVILLE, AL 36066(334) 659-4717 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Advanced Vascular And Wound Care Pc NPPES

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

ADVANCED VASCULAR AND WOUND CARE PC (NPI 1962293084) is a healthcare organization registered as a vascular surgery in Prattville, Alabama and active in the NPI registry since May 2025. The organization lists Justin Parden, Owner/ao, as its authorized official.

NPPES Registry Identity

NPI1962293084
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameADVANCED VASCULAR AND WOUND CARE PC
Location Address104 JOSIE RUNPrattville, AL 36066-7362
Mailing Address7956 Vaughn Rd Ste 165Montgomery, AL 36116-6819
Organization SubpartNo
Authorized OfficialJustin PardenOwner/ao · (334) 659-4717
Enumeration DateMay 16, 2025
NPPES CertifiedMay 16, 2025
✔ NPI 1962293084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedFamily MedicineTaxonomy 207Q00000X
104 JOSIE RUN, Prattville, AL 36066

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

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 Vascular And Wound Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Advanced Vascular And Wound Care PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1467166975
1758 PARK PL STE 300
Montgomery, AL 36106
(334) 293-8922
✔ PECOS✔ Accepts Medicare11 mi
Vascular Surgery
NPI 1578790895
1758 PARK PL STE 300
Montgomery, AL 36106
(334) 293-8922
✔ PECOS✔ Accepts Medicare11 mi
General Surgery
NPI 1982618260
119 HIGH PINES RDG
Fairhope, AL 36532
(251) 751-1461
✔ PECOS158 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 Advanced Vascular And Wound Care PC's NPI number?

The NPI number for Advanced Vascular And Wound Care PC is 1962293084. It was assigned to this organization in the NPPES registry on May 16, 2025.

Where is Advanced Vascular And Wound Care PC located?

Advanced Vascular And Wound Care PC is located at 104 Josie Run, Prattville, AL 36066. The listed phone number is (334) 659-4717.

What is Advanced Vascular And Wound Care PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Advanced Vascular And Wound Care PC enrolled in Medicare?

Yes. Advanced Vascular And Wound Care PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Vascular And Wound Care PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Advanced Vascular And Wound Care PC, in General Surgery, Nurse Practitioner and Vascular Surgery. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Vascular And Wound Care PC was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.