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NPI Code Detail

MEDICARE: ADVANCED HEALTHCARE SPECIALIST

MEDICARE: ADVANCED HEALTHCARE SPECIALIST
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
1363LP2300XPrimary Care Nurse Practitioner
2363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1760004774
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED HEALTHCARE SPECIALIST
Provider Business Mailing Address
First Line : 12407 HIGHWAY 49 STE 2
Second Line :
City : GULFPORT
State : MS
Zip : 39503-4091
Country : US
Telephone Number : 228-596-5749
Fax Number : 228-269-0002
Provider Business Practice Location Address
First Line : 12407 HIGHWAY 49 STE 2
Second Line :
City : GULFPORT
State : MS
Zip : 39503-4091
Country : US
Telephone Number : 228-596-5749
Fax Number : 228-269-0002
Authorized Official
Title or Position : OWNER
Name : DR. RHONDA FOLES
Credential : DNP
Telephone Number : 228-596-5749
Provider Enumeration Date : 05/13/2020
Last Update Date : 03/10/2026

Similar Medicare Providers

1891479002 — ADVANCED HEALTH MEDICAL SUPPLIES, LLC.
Practice Location Address:
12407 HIGHWAY 49 STE 2
GULFPORT, MS
39503-4091
Practice Phone: 228-596-5749
Practice Fax: 228-269-0002
1437006400 — CULTURE MEDICAL TRANSPORT LLC
Practice Location Address:
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GULFPORT, MS
39503-2887
Practice Phone: 228-314-4062
Practice Fax:
1568925816 — MONIQUA SHANTAL TILLMAN MD
Practice Location Address:
11150 US 49
GULFPORT, MS
39503
Practice Phone: 228-831-1700
Practice Fax:
1205840824 — DR. ROBERT L SUTTON III DMD
Practice Location Address:
15503 OAK LN # 300B
GULFPORT, MS
39503-2697
Practice Phone: 228-832-3231
Practice Fax: 228-832-3508
1124975552 — MAMIE ALBRITTON MFT
Practice Location Address:
15045 DEDEAUX RD STE B
GULFPORT, MS
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Practice Phone: 228-254-3037
Practice Fax:
1407701956 — COASTAL CONNECTIONS PEDIATRIC THERAPY LLC
Practice Location Address:
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GULFPORT, MS
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Practice Phone: 228-574-5225
Practice Fax:

Directions to “ADVANCED HEALTHCARE SPECIALIST ” Practice Location

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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.