Individual provider Active NPI

Adam E Traill, DO

  • Hospitalist Physician
  • Demorest, GA
National Provider Identifier
1124112867
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
55286 Issued in GA
Practice address
541 441 Historic Hwy N
Demorest, GA 30535-4528
Phone
(706) 839-4000
NPI assigned
Oct 3, 2006
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 55286 GA Primary

Addresses

Primary practice location

541 441 Historic Hwy N
Demorest, GA 30535-4528

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

1230 Baxter Street
Athens, GA 30606-3791
Phone (706) 389-3420

Other identifiers 1

IdentifierTypeStateIssuer
788218330AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ln8193@providers.smga.myhealthprovider.org Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040820000552 GA Practitioner - Internal Medicine 1951375500 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1230 Baxter St
Athens, GA 30606-3712
Phone (706) 389-3000

541 Historic Hwy 441
Demorest, GA 30525
Phone (770) 534-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.02 of 100Reported as group
Quality
57.87
Promoting interoperability
100
Improvement activities
40
Cost
75.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
55286GAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tift Regional Health System Inc CurrentSince Oct 1, 2023 Accepting new patients
Athens Hospitalist Services PC Hospitalist CurrentSince Aug 1, 2004 Accepting new patients
Tift Regional Health System Inc CurrentSince Oct 1, 2023 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Oct 1, 2023 Accepting new patients
Tift Regional Health System Inc Current Accepting new patients
Northeast Georgia Physicians Group Inc CurrentSince Jan 1, 2025 Accepting new patients
Bleckley Emergency Group LLC Past Accepting new patients
Walton Hospitalist Associates Hospitalist PastSince Mar 25, 2007 Accepting new patients
Northeast Georgia Medical Center Habersham LLC Past Accepting new patients

Locations

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

330 Alcovy St
Monroe, GA 30655
Phone (770) 267-1789

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

1090 Experiment Station Rd
Unit 529
Watkinsville, GA 30677
Phone (706) 621-4108

316 N Broad St
Winder, GA 30680
Phone (770) 307-5354

Interoperability endpoints

  • Direct secure messaging: ln8193@providers.smga.myhealthprovider.org

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1124112867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 441 HISTORIC HWY N",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305354528",
            "telephone_number": "706-839-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 Baxter Street",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306063791",
            "country_code": "US",
            "telephone_number": "706-389-3420",
            "fax_number": "706-389-3420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAILL",
        "first_name": "ADAM",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "55286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "788218330A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ln8193@providers.smga.myhealthprovider.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1230 Baxter Street",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306063791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Demorest, GA

Sources for this page

Verify at the official NPI Registry.