| Advanced Hyperbaric LLC | |
|
5864 Highway 153 Suite 100 Hixson TN 37343 | |
| (423) 486-0010 | |
| Not Available |
| Full Name | Advanced Hyperbaric LLC |
|---|---|
| Speciality | Preventive Medicine |
| Location | 5864 Highway 153 Suite 100, Hixson, Tennessee |
| Authorized Official Name and Position | Douglas Herrin (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4238254268 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Hyperbaric LLC 5864 Highway 153 Suite 100 Hixson TN 37343 Ph: (423) 486-0010 | Advanced Hyperbaric LLC 5864 Highway 153 Suite 100 Hixson TN 37343 Ph: (423) 486-0010 |
| NPI Number | 1326887928 |
|---|---|
| Provider Enumeration Date | 05/22/2024 |
| Last Update Date | 09/30/2025 |
| Certification Date | 09/30/2025 |
| Medicare PECOS PAC ID | 1456888627 |
|---|---|
| Medicare Enrollment ID | O20241230001830 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326887928 | NPI | - | NPPES |
| Provider Name | Randy R Heisser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689620999 PECOS PAC ID: 4284672965 Enrollment ID: I20050422000305 |
| Provider Name | Janella Kristen Killingsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891516464 PECOS PAC ID: 8527597855 Enrollment ID: I20250130003104 |
| Provider Name | Heredeshee Latrice Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669826657 PECOS PAC ID: 7315229523 Enrollment ID: I20250618000455 |
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