Adam Mitchell Guntharp, DO
Individual provider Active NPI Family Medicine Physician · Nettleton, MS
NPI 1073007688 · NPPES record last updated Aug 16, 2024
Key facts
- NPI
- 1073007688
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 28053 (MS)
- Practice address
- 7230 Highway 45 N Ste B
Nettleton, MS 38858-9399 - Phone
- (662) 963-5050
- NPI assigned
- Jun 18, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- William Carey University College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Access Family Health Services, Inc.
Practice addresses (Care Compare)
182 W Main St
Access Family Health Nettleton CL
Nettleton, MS 38858-6075
Phone (662) 963-5050
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220831000410 | MS | Practitioner - Family Practice | 5496003386 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28053 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Family Health Services, Inc. | Current |
Accepting new patients | |
| Access Family Health Services, Inc. | Current | Accepting new patients | |
| Access Family Health Services, Inc. | Current |
Accepting new patients | |
| Access Family Health Services, Inc. | Past | Accepting new patients |
Locations
106 Walker St
Houlka, MS 38850
Phone (662) 568-3316
7230 Highway 45 N
Ste B
Nettleton, MS 38858
Phone (662) 416-3357
182 W Main St
Nettleton, MS 38858
Phone (662) 963-3634
60021 Monroe St
Smithville, MS 38870
Phone (662) 651-4637
Interoperability endpoints
- adam.guntharp.1@14756.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28053 | MS | Yes |
Addresses
Primary practice location
7230 Highway 45 N Ste B
Nettleton, MS 38858-9399
Mailing address
PO Box 305
Smithville, MS 38870-0305
Other practice location 1
60021 Monroe St
Smithville, MS 38870-7779
Phone (662) 651-4637
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02137218 | Medicaid | MS | |
| 1578289 | Other | MS | BLUECROSS BLUESHIELD OF MISSISSIPPI |
Other providers in Nettleton, MS
- Katherine Elizabeth Davis
- Evergreen Clini
- Evergreen Family Medical Clinic Inc
- Family Care of Evergreen, LLC
- Grace Therapy LLC
- John T Hall
- Bill Randle Hester
- Home Town Market Inc.
- James Andrew Jackson
- Andrew C Justice
All providers in Nettleton, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2024. 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.