Active NPI
Adam Meyers, AGACNP, RNFA
- Gerontology Nurse Practitioner
- Petal, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- R876127
- Practice address
- 6 Briarwood Loop
Petal, MS 39465-1009 - Phone
- (601) 270-8284
- NPI assigned
- Jul 18, 2014
- Last updated
- Aug 3, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | R876127 | MS | Primary |
| Registered Nurse First Assistant | 163WR0006X | 876127 | MS |
Addresses
Primary practice location
6 Briarwood Loop
Petal, MS 39465-1009
Mailing address
6 Briarwood Loop
Petal, MS 39465-1009
Phone (601) 270-8284
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00008822 | Medicaid | MS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ameyers40387@directpatientrecord.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Mississippi School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6051 US Hwy 49 S
Hattiesburg, MS 39401-7200
Phone (601) 288-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R876127 | MS | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forrest County General Hospital | Current | Accepting new patients | |
| Forrest County General Hospital | Current | Accepting new patients | |
| FGH Physician Billing | Current | Accepting new patients | |
| Forrest County General Hospital | Current | Accepting new patients | |
| Forrest General Hospital | Past | Accepting new patients | |
| Forrest County General Hospital | Past | Accepting new patients |
Locations
2807 Arlington Loop
Hattiesburg, MS 39401
Phone (601) 288-3446
6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690
7125 U S Highway 98
Hattiesburg, MS 39402
Phone (601) 288-3446
801 Goodyear Blvd
Picayune, MS 39466
Phone (601) 749-0688
Organizations & group practices 6
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.
-
- Psychiatric Hospital Unit
- Hattiesburg, MS
- NPI 1295837631
-
- Cardiovascular Disease Physician
- Hattiesburg, MS
- NPI 1053469700
-
dba Pearl River County Hospital
- Critical Access Hospital
- Poplarville, MS
- NPI 1003026717
-
dba Highland Center for Women's Health RHC
- Rural Health Clinic/Center
- Picayune, MS
- NPI 1043820426
-
- General Acute Care Hospital
- Hattiesburg, MS
- NPI 1225041809
-
- Internal Medicine Physician
- Hattiesburg, MS
- NPI 1053512087
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hattiesburg, MS
- NPI 1225041809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1083021240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 BRIARWOOD LOOP",
"city": "PETAL",
"state": "MS",
"postal_code": "394651009",
"telephone_number": "601-270-8284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 BRIARWOOD LOOP",
"city": "PETAL",
"state": "MS",
"postal_code": "394651009",
"telephone_number": "601-270-8284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYERS",
"first_name": "ADAM",
"credential": "AGACNP, RNFA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-18",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MS",
"license": "R876127",
"primary": true
},
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "MS",
"license": "876127",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00008822",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ameyers40387@directpatientrecord.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "415 S 28th Ave",
"city": "Hattiesburg",
"state": "MS",
"country_code": "US",
"postal_code": "394017246",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Petal, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.