Individual provider Active NPI

Adam T Newman, MD

  • Obstetrics Physician
  • Jacksonville, TX
National Provider Identifier
1154310688
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
2021014176 Issued in MO
Practice address
203 Nacogdoches St
Suite 280
Jacksonville, TX 75766-2462
Phone
(903) 541-5390
Fax
(903) 541-5393
NPI assigned
Oct 18, 2005
Last updated
Aug 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Q0135 TX
Obstetrics & Gynecology Physician 207V00000X 37932 AZ
Obstetrics & Gynecology Physician 207V00000X 01059367A IN
Obstetrics & Gynecology Physician 207V00000X 0101247116 VA
Obstetrics Physician 207VX0000X 2021014176 MO Primary

Addresses

Primary practice location

203 Nacogdoches St
Suite 280
Jacksonville, TX 75766-2462

Mailing address

203 Nacogdoches St Ste 370
Jacksonville, TX 75766-2444
Phone (903) 541-5396

Other identifiers 4

IdentifierTypeStateIssuer
200171950MedicaidIN
385840MedicaidAZ
000000570089OtherINANTHEM
37932OtherAZAZ MEDICAL BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131205000357 TX Practitioner - Obstetrics/Gynecology 9436144946 Reassigns benefits to 2 organizations
I20210323001839 AZ Practitioner - Obstetrics/Gynecology 9436144946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tyler Family Circle of CareGroup PAC ID 4587812888, 28 clinicians
Etmc Physician Group, Inc.Group PAC ID 4486915600, 375 clinicians

Practice addresses (Care Compare)

13172 State Hwy 64 E
Tyler, TX 75707-5340
Phone (903) 606-2212

501 S Ragsdale St
Jacksonville, TX 75766-2434
Phone (903) 541-5143

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01059367AINMDObstetrics & Gynecology Physician
Q0135TXMDObstetrics & Gynecology Physician
0101247116VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tyler Family Circle of Care CurrentSince Mar 19, 2024 Accepting new patients
Obhg Arizona, P.C. Obstetrics & Gynecology CurrentSince Aug 1, 2024 Accepting new patients
Central Indiana Physician Alliance, LLC Family Medicine Past Accepting new patients
Wellmont Physician Services Inc Family Medicine Past Accepting new patients
Jacksonville Hospital LLC Past Accepting new patients
Tyler Family Circle of Care PastSince Jan 19, 2025 Accepting new patients

Locations

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 603-5203

510 E Commerce St
Jacksonville, TX 75766
Phone (903) 541-2700

214 E Houston St
Tyler, TX 75702
Phone (903) 593-1892

523 S Fannin Ave
Tyler, TX 75702

Interoperability endpoints

  • Direct secure messaging: adamnewman@mhccaremail.com
  • Direct secure messaging: anewman355726@ahs.direct-ci.com

Organizations & group practices 7

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 1

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1154310688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 NACOGDOCHES ST STE 370",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757662444",
            "telephone_number": "903-541-5396",
            "fax_number": "903-541-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 NACOGDOCHES ST",
            "address_2": "SUITE 280",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757662462",
            "telephone_number": "903-541-5390",
            "fax_number": "903-541-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "ADAM",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "Q0135",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "37932",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01059367A",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101247116",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MO",
            "license": "2021014176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200171950",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "385840",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000570089",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ MEDICAL BOARD",
            "identifier": "37932",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, TX

Sources for this page

Verify at the official NPI Registry.