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Advanced Medical Group, LLC

Community/Retail Pharmacy in Thomasville, GA · enumerated 2006 · authorized official Vance Wall, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417980426

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Registry record

Entity type Organization (Type 2)
Legal business name Advanced Medical Group, LLC
Other name <Unavail>
Practice address 816 Gordon Ave, Thomasville, GA, 31792
Phone (229) 226-4201
Fax (229) 226-4206
Enumeration date Jul 10, 2006
Last updated in NPPES Apr 26, 2017

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 000001 (GA) Primary
3336L0003X Long Term Care Pharmacy Suppliers Secondary

Authorized official

Name Vance Wall
Title Ceo
Phone (678) 689-2388

Other identifiers

Identifier Type State Issuer
000037045A Medicaid GA -
2134358 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Advanced Medical Group, LLC?
The NPI for Advanced Medical Group, LLC is 1417980426, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Advanced Medical Group, LLC?
NPPES lists Vance Wall (Ceo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-04-26.