MEDICARE: ADVANCE MEDICAL SUPPLIES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	06862/11.1	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881636421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCE MEDICAL SUPPLIES, INC.

Provider Business Mailing Address
First Line	:	350 W WOODROW WILSON AVE
Second Line	:	SUITE 241
City	:	JACKSON
State	:	MS
Zip	:	39213-7681
Country	:	US
Telephone Number	:	601-366-4244
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 W WOODROW WILSON AVE
Second Line	:	SUITE 241
City	:	JACKSON
State	:	MS
Zip	:	39213-7681
Country	:	US
Telephone Number	:	601-366-4244
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JAMES S. GRAVES
Credential	:
Telephone Number	:	601-366-4244

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1881673648 — DR. JAN M HAUSMANN MD
Practice Location Address:

350 W WOODROW WILSON AVE , JACKSON-HINDS COMPREHENSIVE HEALTH CENTER
JACKSON, MS
39213-7681

Practice Phone: 601-709-5130
Practice Fax: 601-709-5141

1184607210 — DR. SRINIVASAN VIJAYAKUMAR M.D.
Practice Location Address:

350 W WOODROW WILSON AVE , SUITE 16
JACKSON, MS
39213-7681

Practice Phone: 601-815-6886
Practice Fax:

1225015266 — BE JAY PE LTD
Practice Location Address:

350 W WOODROW WILSON AVE STE 311
JACKSON, MS
39213-7681

Practice Phone: 601-487-2281
Practice Fax: 601-362-6325

1235108796 — BEVERLY H WILLIAMS R.PH, PHARM. D.
Practice Location Address:

350 W WOODROW WILSON AVE STE 311
JACKSON, MS
39213-7681

Practice Phone: 601-487-2281
Practice Fax: 601-487-2283

1811944077 — MS. JOSELYN C BACON CNM
Practice Location Address:

350 W WOODROW WILSON AVE
JACKSON, MS
39213-7681

Practice Phone: 601-364-2666
Practice Fax: 601-364-2659

1770525057 — VOICE OF CALVARY FAMILY HEALTH CENTER INC
Practice Location Address:

350 W WOODROW WILSON AVE , SUITE 611
JACKSON, MS
39213-7681

Practice Phone: 601-713-3233
Practice Fax: 601-713-2851

Directions to “ADVANCE MEDICAL SUPPLIES, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.