ADVANCED NP SERVICES NPI 1861678815

NPI Information

NPI: 1861678815
Provider Name: ADVANCED NP SERVICES
Classification: Nurse Practitioner - 363LF0000X
Specialization: Family
Entity Type: Organization
Address: 242 SUMMERFORD PL
STOCKBRIDGE, GA
ZIP 30281
Phone: (678) 289-6618

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NPI Details

ADVANCED NP SERVICES is a family nurse practitioner in Stockbridge, GA. ADVANCED NP SERVICES NPI is 1861678815. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

242 SUMMERFORD PL
STOCKBRIDGE, GA
ZIP 30281-892
Phone: (678) 289-6618
Fax: (678) 289-4274

The provider's authorized official is Debra Cooper .
The authorized official title is President and has the following contact phone number (678) 289-6618.

The enumeration date for this NPI number is 1/21/2008 and was last updated on 9/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WR0006X	Registered Nurse	Registered Nurse First Assistant	RN084801NP	GEORGIA	No
2	163WS0121X	Registered Nurse	Plastic Surgery	RN084801	GEORGIA	No
3	363L00000X	Nurse Practitioner		RN084801NP	GEORGIA	No
4	363LF0000X	Nurse Practitioner	Family	RN084801NP	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1275755167	MEDICARE UPIN	GEORGIA
2	511I500088	OTHER	GEORGIA	MEDICARE PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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