Individual provider Active NPI

Keta A. Adams, PA-C

  • Medical Physician Assistant
  • Franklin, TX
National Provider Identifier
1043356645
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA03071 Issued in TX
Practice address
305 W Gay St
Franklin, TX 77856-4871
Phone
(979) 828-4540
NPI assigned
Jan 30, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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
Medical Physician Assistant 363AM0700X PA03071 TX Primary

Addresses

Primary practice location

305 W Gay St
Franklin, TX 77856-4871

Mailing address

5304 Bloomsbury Way
Bryan, TX 77802-6069
Phone (979) 774-2216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101116000912 TX Practitioner - Physician Assistant 8123213105 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Star Urgent Care, PLLCGroup PAC ID 2062648462, 8 clinicians

Practice addresses (Care Compare)

2454 E Austin St
Giddings, TX 78942-3636
Phone (979) 542-2273

6022 FM 1488 Rd
Magnolia, TX 77354-2542
Phone (281) 583-1980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Skilled Facility Health Care Solutions Inc CurrentSince Oct 24, 2016 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince Aug 2, 2021 Accepting new patients
Star Urgent Care Management Inc Past Accepting new patients
College Station Hospital LP Past Accepting new patients
St Joseph Regional Health Center Past Accepting new patients
Central Texas Heart Center Past Accepting new patients

Locations

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

3747 Foothill Blvd
#B140
La Crescenta, CA 91214
Phone 3104455999255

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

914 Brazosport Blvd N
Richwood, TX 77531
Phone (979) 230-0407

1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIIEBD

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043356645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5304 BLOOMSBURY WAY",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778026069",
            "telephone_number": "979-774-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W GAY ST",
            "city": "FRANKLIN",
            "state": "TX",
            "postal_code": "778564871",
            "telephone_number": "979-828-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "KETA",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA03071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TX

Sources for this page

Verify at the official NPI Registry.