Adam M Zelickson, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

85971 Issued in GA

Practice address

1215 Lee St
Charlottesville, VA 22908-0816

Phone

(434) 924-3627

NPI assigned

May 20, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, AL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Diagnostic Radiology

Education

University of Alabama School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Imaging Services LLCGroup PAC ID 9436597945, 71 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fairview Park Hospital Hospital, Dublin, GA, CCN 110125

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Summit Imaging Services LLC

  • Diagnostic Radiology Physician
  • Cartersville, GA
  • NPI 1134984982
  Medicare reassignment Care Compare group NPD
• Diagnostic Health MRI of Gadsden, LLC

  • Radiology Clinic/Center
  • Huntsville, AL
  • NPI 1811945306

  Diagnostic Radiology

  Medicare reassignment NPD
• Insight Imaging, Inc

  • Diagnostic Radiology Physician
  • Huntsville, AL
  • NPI 1497713382
  Medicare reassignment NPD
• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723
  Medicare reassignment NPD
• Diagnostic Health MRI of Gadsden, LLC

  • Radiology Clinic/Center
  • Madison, AL
  • NPI 1003151671
  Medicare reassignment
• Diagnostic Health MRI of Gadsden, LLC

  • Radiology Clinic/Center
  • Decatur, AL
  • NPI 1851056188
  Medicare reassignment
• University of Alabama Health Services Foundation, PC

  • Clinical Medical Laboratory
  • Birmingham, AL
  • NPI 1164617205
  NPD
• Baptist Health System, Inc.

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1598711616
  NPD (past)
• Baptist Health System, Inc.

  • Internal Medicine Physician
  • Irondale, AL
  • NPI 1821031824
  NPD (past)

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

• Fairview Park, Limited Partnership

  • General Acute Care Hospital
  • Dublin, GA
  • NPI 1285688234
  Care Compare affiliation

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1063824415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 S BAMBY LN NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303193650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LEE ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080816",
            "telephone_number": "434-924-3627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 Montclair Rd",
            "address_2": "Suite 317",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352131920",
            "country_code": "US",
            "telephone_number": "205-599-4822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2006 Franklin St SE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358014537",
            "country_code": "US",
            "telephone_number": "256-539-0457",
            "fax_number": "256-539-5827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZELICKSON",
        "first_name": "ADAM",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "85971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher P Zazakos Jr., M.D.
• Steven L. Zeichner, M.D.
• Martha A Zeiger, M.D.
• Daniel Zeiss, M.A.
• Andrea Margaret Zeke, MD
• Amy Shanel Zell
• Ambi G Zeller, ACNP
• Sarah Ann Zeller, M.D.
• Jacquelyn Lee Zema, RD
• Melanie C Zemel, MD

• Diagnostic Radiology Physician in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Diagnostic Radiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.