Medadvance PLLC
NPI 1104634377 · Family Medicine Physician · Somers Point, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Medadvance PLLC is a Family Medicine Physician organization in Somers Point, NJ (NPI 1104634377).
Provider details
- NPI number
- 1104634377
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tracy Wimberg, Vp Billing Operations(609) 517-2526
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 6216 Highland Place WayKnoxville, TN 37919-4070Phone: (865) 549-5151
Registry dates
- Enumerated
- 2024-12-20
- Last updated
- 2025-05-20
- Certified
- 2025-05-20
Frequently asked questions
- What is Medadvance PLLC's NPI number?
- Medadvance PLLC's National Provider Identifier (NPI) is 1104634377, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medadvance PLLC?
- Medadvance PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Medadvance PLLC located?
- Medadvance PLLC's practice location on file with NPPES is 731 Bay Ave, Somers Point, NJ 08244-2378.
- What is Medadvance PLLC's phone number?
- The practice phone number listed in the NPPES registry for Medadvance PLLC is (865) 888-9958.
- Does Medadvance PLLC accept Medicare?
- Medadvance PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Medadvance PLLC?
- The authorized official listed on Medadvance PLLC's NPPES record is Tracy Wimberg, Vp Billing Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medadvance PLLC's NPI active?
- Yes — Medadvance PLLC's NPI (1104634377) is active in the NPPES registry as of the last update on 2025-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.