NPIMap

Robert Joseph Adams, PA

Individual provider Active NPI Physician Assistant · Livingston, TN

NPI 1063787356 · NPPES record last updated Jul 1, 2013

Key facts

NPI
1063787356
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
Practice address
5751 Bradford Hicks Dr
Livingston, TN 38570-2237
Phone
(931) 823-3030
Fax
(931) 823-3018
NPI assigned
Mar 20, 2012
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2124TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Medical Center LLC Current
since Mar 22, 2013		 Accepting new patients
Fast Pace Medical Clinic PLLC Past Accepting new patients

Locations

4120 Bradford Hicks Dr
Livingston, TN 38570
Phone (931) 823-5603

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Yes

Addresses

Primary practice location

5751 Bradford Hicks Dr
Livingston, TN 38570-2237

Mailing address

5751 Bradford Hicks Dr
Livingston, TN 38570-2237
Phone (931) 823-3030

Other providers in Livingston, TN

All providers in Livingston, TN · Physician Assistant in Tennessee

Sources for this page

Verify at the official NPI Registry.