Keta A. Adams, PA-C
Individual provider Active NPI Medical Physician Assistant · Franklin, TX
NPI 1043356645 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043356645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA03071 (TX)
- Practice address
- 305 W Gay St
Franklin, TX 77856-4871 - Phone
- (979) 828-4540
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Star Urgent Care, PLLC
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101116000912 | TX | Practitioner - Physician Assistant | 8123213105 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA03071 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skilled Facility Health Care Solutions Inc | Current |
Accepting new patients | |
| Ucp Physicians of Central Texas, PLLC | Current |
Accepting new patients | |
| St Joseph Regional Health Center | Past | Accepting new patients | |
| College Station Hospital LP | Past | Accepting new patients | |
| Central Texas Heart Center | Past | Accepting new patients | |
| Star Urgent Care Management Inc | 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
- https://fhir4.healow.com/fhir/r4/EIIEBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA03071 | TX | Yes |
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
Other providers in Franklin, TX
- Leah A Allen
- Brazos Valley Community Action Agency, Inc.
- Brazos Valley Community Action Agency, Inc.
- Brazos Valley Community Action Agency, Inc.
- Whitney Buckholt
All providers in Franklin, TX · Medical Physician Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.