P Praxis·MD
● Active Type 2 · Organization

Advanced Medical Group, Llc

Pharmacy·Boston, GA· NPI 1679811731 · Enumerated 2013 · 13 years on NPI
Advanced Medical Group, Llc is 1 of 1965 pharmacy organizations in Georgia.
NPI age
13 years
Enumerated 2013-01-24
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wall
Ceo/president
Last NPPES update
2013-01-29
Source: monthly bulk 2026-05

How this organization compares

Across 1965 active pharmacy providers in Georgia.

NPI age
13 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 65% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-01Enumerated in NPPES
2013 2026

Where they practice

Primary practice location
118 N Main St
Boston, GA 316262257
📞 2294981018fax 2294981012
Mailing address
450 Old Peachtree Rd Nw, Suite 102
Suwanee, GA 300247289
📞 8776453506fax 6786891459

Authorized official

Vance T Wall, RPH
Ceo/president
📞 8776453506

Specialties

  • Pharmacy Primary
    A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
    GA license #PHRE009897 taxonomy 3336C0003X
  • Pharmacy
    A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
    GA license #PHRE009897 taxonomy 333600000X

Identifiers

TypeValueNotes
01 (GA) PHRE009897 RETAIL PHARMACY PERMIT

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • THOMAS DRUG STORE
    Type code 3 recorded 2013-01-24

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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