Active NPI
Tresselyn Douglas Adams, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Rome, GA
National Provider Identifier
1104051168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN112304
- Practice address
- 1345 Redmond Cir NW
Rome, GA 30165-1307 - Phone
- (910) 742-9243
- Fax
- (888) 746-1787
- NPI assigned
- May 20, 2009
- Last updated
- Jun 14, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN112304 | GA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN112304 | GA | Primary |
Addresses
Primary practice location
1345 Redmond Cir NW
Rome, GA 30165-1307
Mailing address
PO Box 538622
Atlanta, GA 30353-8622
Phone (910) 742-9243
Other practice location 1
1007 Memorial Dr
Griffin, GA 30223-4445
Phone (770) 467-4715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560470400000",
"number": "1104051168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 538622",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303538622",
"telephone_number": "910-742-9243",
"fax_number": "888-746-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 REDMOND CIR NW",
"city": "ROME",
"state": "GA",
"postal_code": "301651307",
"telephone_number": "910-742-9243",
"fax_number": "888-746-1787"
}
],
"practiceLocations": [
{
"address_1": "1007 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Griffin",
"state": "GA",
"postal_code": "302234445",
"country_code": "US",
"telephone_number": "770-467-4715",
"fax_number": "770-229-3170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADAMS",
"first_name": "TRESSELYN",
"middle_name": "DOUGLAS",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-20",
"last_updated": "2019-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN112304",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "RN112304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.