NPIMap

Individual provider Active NPI

Dennis U Adams, MD

  • Family Medicine Physician
  • Mendenhall, MS
National Provider Identifier
1033137658
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
07609 Issued in MS
Practice address
401 Main St N
Mendenhall, MS 39114-3303
Phone
(601) 847-3306
Fax
(601) 847-5336
NPI assigned
Jul 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 07609 MS Primary

Addresses

Primary practice location

401 Main St N
Mendenhall, MS 39114-3303

Mailing address

PO Box 6227
Pearl, MS 39288-6227
Phone (601) 825-7280

Other identifiers 1

IdentifierTypeStateIssuer
00116484MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110106000598 MS Practitioner - General Practice 5890984819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
New York Medical College, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Care Clinic IncGroup PAC ID 5395656946, 30 clinicians

Practice addresses (Care Compare)

401 Main St N
Mendenhall, MS 39114-3303
Phone (601) 825-7280

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
07609MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care Clinic, Inc. Current Accepting new patients
Family Health Care Clinic, Inc. CurrentSince Dec 23, 1996 Accepting new patients
Simpson Community Healthcare, Inc. Past Accepting new patients
Family Health Care Clinic, Inc Past Accepting new patients

Locations

401 Main St N
Mendenhall, MS 39114
Phone (601) 847-3306

4635 Highway 80 E
Pearl, MS 39208
Phone (601) 502-3009

Interoperability endpoints

  • Direct secure messaging: dennis.adams@fhcc.eclinicaldirectplus.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/ad408f3e-a4ef-4981-b9b9-d19f9315fe54/

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033137658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6227",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392886227",
            "telephone_number": "601-825-7280",
            "fax_number": "601-825-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MAIN ST N",
            "city": "MENDENHALL",
            "state": "MS",
            "postal_code": "391143303",
            "telephone_number": "601-847-3306",
            "fax_number": "601-847-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "DENNIS",
        "middle_name": "U",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "07609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00116484",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendenhall, MS

Sources for this page

Verify at the official NPI Registry.