Advanced Medical Resources of Wayne County, LLC
NPI 1396140497 · Internal Medicine Physician · Jesup, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advanced Medical Resources of Wayne County, LLC is a Internal Medicine Physician organization in Jesup, GA (NPI 1396140497).
Provider details
- NPI number
- 1396140497
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lake Daly, Administrator(912) 657-0500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2014-10-31
- Last updated
- 2020-02-19
- Certified
- 2020-02-19
Frequently asked questions
- What is Advanced Medical Resources of Wayne County, LLC's NPI number?
- Advanced Medical Resources of Wayne County, LLC's National Provider Identifier (NPI) is 1396140497, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Medical Resources of Wayne County, LLC?
- Advanced Medical Resources of Wayne County, LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Advanced Medical Resources of Wayne County, LLC located?
- Advanced Medical Resources of Wayne County, LLC's practice location on file with NPPES is 865 S 1st St, Jesup, GA 31545-0210.
- What is Advanced Medical Resources of Wayne County, LLC's phone number?
- The practice phone number listed in the NPPES registry for Advanced Medical Resources of Wayne County, LLC is (912) 657-0500.
- Does Advanced Medical Resources of Wayne County, LLC accept Medicare?
- Advanced Medical Resources of Wayne County, LLC 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 Advanced Medical Resources of Wayne County, LLC?
- The authorized official listed on Advanced Medical Resources of Wayne County, LLC's NPPES record is Lake Daly, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Medical Resources of Wayne County, LLC's NPI active?
- Yes — Advanced Medical Resources of Wayne County, LLC's NPI (1396140497) is active in the NPPES registry as of the last update on 2020-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.