ADVANCED MEDICAL GROUP PA — NPI 1265821342 (Board-Certified Anesthesiologist & Interventional Pain Specialist in PINEHURST, NC)

CMS-1500 Box 24J / 33a • NPI

1265821342

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207LP2900X (CMS 05)

Board-Certified Anesthesiologist & Interventional Pain Specialist

Box 32 Service Location & ZIP+4

6 REGIONAL DR, SUITE B, PINEHURST, NC, 28374-8850

✓ 9-Digit EDI 837 ZIP+4 (28374-8850)

Practice Phone & Referral Fax

(910) 420-2405

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1265821342 (ADVANCED MEDICAL GROUP PA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1265821342` (NPI-2 Organization / Facility)
Provider / Legal Name	ADVANCED MEDICAL GROUP PA
Plain-English Specialty	Board-Certified Anesthesiologist & Interventional Pain Specialist NUCC Code: `207LP2900X` (Anesthesiology, Pain Medicine)
Certifying / Licensing Body	American Board of Anesthesiology (ABA)
Practice Location Address	6 REGIONAL DR, SUITE B, PINEHURST, NC, 28374-8850
Practice Telephone / Fax	Tel: (910) 420-2405
Administrative Mailing Address	11350 MCCORMICK RD, HUNT VALLEY, MD, 21031-8850
Enumeration & Last Sync	Enumerated: 2015-01-13 \| CMS Record Updated: 2020-11-12
Authorized Official	ALI EL-MOHANDES (Medical Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

6 REGIONAL DR, SUITE B, PINEHURST, NC, 28374-8850

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Plain-English Taxonomy & CMS Crosswalk (207LP2900X)

What Does Taxonomy Code 207LP2900X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207LP2900X translates to:
"Board-Certified Anesthesiologist & Interventional Pain Specialist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 05 (Physician/Anesthesiology)
Certifying / Accrediting Authority: American Board of Anesthesiology (ABA)
Clinical Scope: Pre-surgical anesthesia evaluation, obstetric labor epidural care, or interventional spine and nerve block procedures for chronic pain.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVANCED MEDICAL GROUP PA)

Typical CPT / Diagnostic Procedures:

General Endotracheal Anesthesia & Total Intravenous Anesthesia (TIVA)
Ultrasound-Guided Peripheral Nerve Blocks & Labor Epidural Analgesia
Fluoroscopic Epidural Steroid Injections & Facet Joint Blocks

Common Therapeutic Classes:

Propofol, Sevoflurane, Rocuronium & Sugammadex
Bupivacaine, Lidocaine & Ropivacaine Regional Anesthetics

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207LP2900X` — Anesthesiology, Pain Medicine Plain English: Board-Certified Anesthesiologist & Interventional Pain Specialist	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ADVANCED MEDICAL GROUP PA (NPI #1265821342)