Active NPI
Stephen D Adams, DO
- Anatomic Pathology & Clinical Pathology Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 047179
- Practice address
- 3651 Wheeler Rd
Augusta, GA 30909-6521 - Phone
- (706) 651-6544
- Fax
- (706) 651-6158
- NPI assigned
- Jan 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 047179 | GA | Primary |
Addresses
Primary practice location
3651 Wheeler Rd
Augusta, GA 30909-6521
Mailing address
14275 Midway Rd
Suite 400
Addison, TX 75001-3614
Phone (214) 932-8029
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 581303376 | Other | GA | TRICARE |
| 489145971B | Medicaid | GA |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100324000510 | GA | Practitioner - Pathology | 9436284809 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Regional Laboratories Pathology Services, LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232
350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367
400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Atlantis, FL
- NPI 1942526298
Anatomic Pathology & Clinical Pathology, GA
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Midwestern University, Chicago College of Osteopathic Med, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Integrated Regional Laboratories Pathology Services, LLC
Practice addresses (Care Compare)
3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (706) 651-6544
Hospital & facility affiliations
- Doctors Hospital
- Piedmont Augusta Hospital
- Wellstar MCG Health, Affiliated With Med Col
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427155200000",
"number": "1104805886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14275 MIDWAY RD",
"address_2": "SUITE 400",
"city": "ADDISON",
"state": "TX",
"postal_code": "750013614",
"telephone_number": "214-932-8029",
"fax_number": "610-271-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3651 WHEELER RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096521",
"telephone_number": "706-651-6544",
"fax_number": "706-651-6158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "STEPHEN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2015-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "GA",
"license": "047179",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "581303376",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "489145971B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.