Christopher Jordan Adams, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Birmingham, AL
NPI 1104560341 · NPPES record last updated Jun 30, 2025
Key facts
- NPI
- 1104560341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 805 Saint Vincents Dr Ste 100
Birmingham, AL 35205-1638 - Phone
- (205) 939-3699
- NPI assigned
- Apr 25, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- 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 |
|---|---|---|---|---|
| I20220513001518 | TN | Order and Referring Only - Internal Medicine |
7517344468 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- cadams@andrewssm.emadirect.md
- chris.adams.1@12373.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
805 Saint Vincents Dr Ste 100
Birmingham, AL 35205-1638
Mailing address
805 Saint Vincents Dr Ste 100
Birmingham, AL 35205-1638
Phone (205) 939-3699
Other practice location 1
975 E 3rd St # 112
Chattanooga, TN 37403-2173
Phone (423) 778-7817
NPI Registry JSON
{
"created_epoch": "1650844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1104560341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 SAINT VINCENTS DR STE 100",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051638",
"telephone_number": "205-939-3699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 SAINT VINCENTS DR STE 100",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051638",
"telephone_number": "205-939-3699"
}
],
"practiceLocations": [
{
"address_1": "975 E 3rd St # 112",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "374032173",
"country_code": "US",
"telephone_number": "423-778-7817",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADAMS",
"first_name": "CHRISTOPHER",
"middle_name": "JORDAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-25",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
- Bentley Adams
- Brandy Nichole Adams
- Carlos Darnell Adams
- Catherine Adams
- Charles Michael Adams Sr.
- Edward Adams
- Elizabeth Holcombe Adams
- Elizabeth Marie Adams
- Grant Douglas Adams
- Hannah Adams
All providers in Birmingham, AL · Student in an Organized Health Care Education/Training Program in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2025. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.