Individual provider Active NPI

Jimmie D McAdams Jr., DO

  • Geriatric Psychiatry Physician
  • Tulsa, OK
National Provider Identifier
1134199250
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
2634 Issued in OK
Practice address
6655 S Yale Ave
Laureate Psychiatric Clinic and Hospital
Tulsa, OK 74136-3326
Phone
(918) 491-5645
Fax
(918) 491-5740
NPI assigned
Jan 23, 2006
Last updated
Mar 6, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 2634 OK Primary

Addresses

Primary practice location

6655 S Yale Ave
Laureate Psychiatric Clinic and Hospital
Tulsa, OK 74136-3326

Mailing address

PO Box 21228
Department 31
Tulsa, OK 74121-1228
Phone (918) 491-5645

Other identifiers 2

IdentifierTypeStateIssuer
1022622OtherCIGNA BEHAVIORAL HEALTH
5438232OtherAETNA BEHAVIORAL HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20120216000035 OK Practitioner - Psychiatry 8224296546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.86 of 100Reported as group
Quality
85.15
Promoting interoperability
100
Improvement activities
40
Cost
78.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2634OKMDSpeech-Language Pathologist

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, 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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1134199250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21228",
            "address_2": "DEPARTMENT 31",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741211228",
            "telephone_number": "918-491-5645",
            "fax_number": "918-491-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 S YALE AVE",
            "address_2": "LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363326",
            "telephone_number": "918-491-5645",
            "fax_number": "918-491-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCADAMS",
        "first_name": "JIMMIE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "OK",
            "license": "2634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "1022622",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BEHAVIORAL HEALTH",
            "identifier": "5438232",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.