Active NPI
Craig B Adams, M.D.
- Pediatrics Physician
- Dothan, AL
National Provider Identifier
1033116231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 19499
- Practice address
- 364 Honeysuckle Rd
Dothan, AL 36305-1140 - Phone
- (334) 794-8656
- Fax
- (877) 389-4229
- NPI assigned
- Jul 1, 2005
- Last updated
- Oct 13, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 19499 | AL | Primary |
Addresses
Primary practice location
364 Honeysuckle Rd
Dothan, AL 36305-1140
Mailing address
364 Honeysuckle Rd
Dothan, AL 36305-1140
Phone (334) 794-8656
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00681843A | Medicaid | GA | |
| 000036050 | Medicaid | AL | |
| 379100900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19499 | AL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Pediatric Associates, P.a. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- craigadams@spap-al.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Dothan, AL
- NPI 1093907412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444694400000",
"number": "1033116231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "364 HONEYSUCKLE RD",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363051140",
"telephone_number": "334-794-8656",
"fax_number": "877-389-4229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "364 HONEYSUCKLE RD",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363051140",
"telephone_number": "334-794-8656",
"fax_number": "877-389-4229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "CRAIG",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-01",
"last_updated": "2015-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "19499",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00681843A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000036050",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "379100900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
- Accucare Medical Equipment, LLC (AdaptHealth)
- Saru Acharya, MD
- Maria del Pilar Acosta Lara
- Action Orthotics & Prosthetics
- Courtney Ashton Adams
- Darrell Denese Adams, LPC
- Gina Michelle Adams, LPC
- Randall Lee Adams Jr., CRNA
- Addiction & Mental Health Services Inc (Bradford Health Services)
- Addiction & Mental Health Services, LLC (Bradford Health Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.