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123WOUNDS LLC
NPI 1972468510
General Practice in Cooper City, FL

Active since December 17, 2025
5204 SW 87TH AVE, COOPER CITY, FL 33328(301) 980-1133 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About 123wounds Llc NPPES

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

123WOUNDS LLC (NPI 1972468510), doing business as Advanced Wound Care Specialists, is a healthcare organization registered as a general practice in Cooper City, Florida and active in the NPI registry since December 2025. The organization lists Priya Nair, Director, as its authorized official.

NPPES Registry Identity

NPI1972468510
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business Name123WOUNDS LLC
Location Address5204 SW 87TH AVECooper City, FL 33328-4330
Mailing Address5204 Sw 87th AveCooper City, FL 33328-4330 · (301) 980-1133
Phone(301) 980-1133
Organization SubpartNo
Authorized OfficialPriya NairDirector · (301) 980-1133
Enumeration DateDecember 17, 2025
NPPES CertifiedDecember 17, 2025
✔ NPI 1972468510 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
5204 SW 87TH AVE, Cooper City, FL 33328
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Other Names 1

Doing Business AsAdvanced Wound Care Specialists

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)

123wounds Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to 123wounds LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Priya Nair
Nurse Practitioner
NPI 1396461760
5204 SW 87TH AVE
Cooper City, FL 33328
(301) 980-1133
✔ PECOS✔ Accepts MedicareSame address
Jason Miller, PT, CCS, CWS
Physical Therapist in Private Practice
NPI 1568586188
19484 SW 60TH CT
Southwest Ranches, FL 33332
(786) 496-2144
9.2 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 123wounds LLC's NPI number?

The NPI number for 123wounds LLC is 1972468510. It was assigned to this organization in the NPPES registry on December 17, 2025. The provider is doing business as Advanced Wound Care Specialists.

Where is 123wounds LLC located?

123wounds LLC is located at 5204 SW 87th Ave, Cooper City, FL 33328. The listed phone number is (301) 980-1133.

What is 123wounds LLC's specialty?

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

Is 123wounds LLC enrolled in Medicare?

Yes. 123wounds LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 123wounds LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to 123wounds LLC, in Nurse Practitioner and Physical Therapist in Private Practice. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for 123wounds LLC was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.