Individual provider Active NPI

Danny L Adams, PA

  • Physician Assistant
  • Athens, GA
National Provider Identifier
1093934788
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
004766 Issued in GA
Practice address
1000 Hawthorne Ave Ste J
Athens, GA 30606-2168
Phone
(706) 286-8344
Fax
(706) 286-8346
NPI assigned
Apr 24, 2007
Last updated
Feb 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 004766 GA Primary

Addresses

Primary practice location

1000 Hawthorne Ave Ste J
Athens, GA 30606-2168

Mailing address

PO Box 48298
Athens, GA 30604-8298
Phone (706) 543-3449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070622000291 GA Practitioner - Physician Assistant 1254309651 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
004766GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Optim Jenkins Emergency Medical Services, LLC CurrentSince May 1, 2016 Accepting new patients
Southland Optim Jenkins Emergency Medical Services, LLC CurrentSince May 1, 2016 Accepting new patients
Southland Evans Emergency Medical Services LLC Past Accepting new patients

Locations

931 E Winthrope Ave
Millen, GA 30442
Phone (478) 982-4221

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1093934788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48298",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306048298",
            "telephone_number": "706-543-3449",
            "fax_number": "706-543-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HAWTHORNE AVE STE J",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062168",
            "telephone_number": "706-286-8344",
            "fax_number": "706-286-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "DANNY",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "004766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.