Active NPI
John C Adams, MD
- Family Medicine Physician
- Pontotoc, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10235
- Practice address
- 353 Highway 15 N
Pontotoc, MS 38863-1103 - Phone
- (662) 490-1985
- NPI assigned
- Aug 30, 2006
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 10235 | MS | |
| Family Medicine Physician | 207Q00000X | 10235 | MS | Primary |
Addresses
Primary practice location
353 Highway 15 N
Pontotoc, MS 38863-1103
Mailing address
PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534
Other practice location 1
1423 Palmetto Rd
Verona, MS 38879
Phone (662) 566-5593
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017133 | Medicaid | MS | |
| 00017133 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Family Health Center Inc | Current | Accepting new patients | |
| Coastal Family Health Center, Inc | Current | Accepting new patients | |
| Coastal Family Health Center, Inc | Current | Accepting new patients | |
| Tishomingo Health Services, Inc. | Past | Accepting new patients | |
| John W. White, Jr., MD, PA | Past | Accepting new patients |
Locations
1046 Division St
Biloxi, MS 39530
Phone (225) 374-2494
4770 Amoco Dr
Moss Point, MS 39563
Phone (228) 474-9511
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Coastal Family Health Center
- Federally Qualified Health Center (FQHC)
- Biloxi, MS
- NPI 1629066782
-
dba Coastal Family Health Center, Inc - Green High School Clinic
- Federally Qualified Health Center (FQHC)
- Leakesville, MS
- NPI 1366515470
-
dba Coastal Family Health Center, Inc Central Elementary
- Federally Qualified Health Center (FQHC)
- Lucedale, MS
- NPI 1427842913
-
dba Belmont Family Medical Clinic
- Clinic/Center
- Belmont, MS
- NPI 1295105922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1013026970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 497",
"city": "AUGUSTA",
"state": "AR",
"postal_code": "720060497",
"telephone_number": "870-347-2534",
"fax_number": "870-347-2023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 HIGHWAY 15 N",
"city": "PONTOTOC",
"state": "MS",
"postal_code": "388631103",
"telephone_number": "662-490-1985"
}
],
"practiceLocations": [
{
"address_1": "1423 Palmetto Rd",
"address_purpose": "LOCATION",
"city": "Verona",
"state": "MS",
"postal_code": "38879",
"country_code": "US",
"telephone_number": "662-566-5593",
"fax_number": "662-566-4419",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADAMS",
"first_name": "JOHN",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "MS",
"license": "10235",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "10235",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017133",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00017133",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pontotoc, MS
- 180 Interventions LLC
- A Tree of Life Counseling, PLLC
- Access Family Health Services, Inc. (Access School Health - Pontotoc Main)
- Access Family Health Services, Inc. (Access School Health - South Pontotoc)
- Acute Care & Family Clinic of Pontotoc
- Alliance Rehabilitation, Inc
- William David Anderson, D.C.
- Arcare (MississippiCare 113)
- Sierra Lyn Ashe, RN, BSN, CLC
- Athletico, LTD (Athletico Physical Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.