# ADVANCED MEDICAL, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ADVANCED MEDICAL, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1427643220
- **Legal business name:** ADVANCED MEDICAL, LLC
- **Authorized official:** GREG KANIECKI (EVP, GROWTH & OPERATIONS)
- **Authorized official phone:** (769) 233-8484

## Contact information

- **Practice address:** 625 S PEAR ORCHARD RD STE B, RIDGELAND, MS 39157-4811
- **Practice address phone:** (769) 233-8484
- **Practice address fax:** (769) 233-8484
- **Mailing address:** 625 S PEAR ORCHARD RD STE B, RIDGELAND, MS 39157-4811
- **Mailing address phone:** (769) 233-8484
- **Mailing address fax:** (769) 233-8051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/03/2021
- **Last updated:** 07/17/2026