Active NPI
Adam Richard Riser, PA
- Physician Assistant
- Columbia, TN
National Provider Identifier
1154501443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1543
- Practice address
- 1224 Trotwood Ave
Columbia, TN 38401-4802 - Phone
- (931) 388-3915
- Fax
- (931) 388-7119
- NPI assigned
- Nov 5, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1543 | TN | Primary |
Addresses
Primary practice location
1224 Trotwood Ave
Columbia, TN 38401-4802
Mailing address
1224 Trotwood Ave
Maury Emergency Physicians
Columbia, TN 38401
Phone (931) 388-3915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Doctors LLC | Current | Accepting new patients | |
| Union Emergency Medical Associates LLC | Physician Assistant | Past | Accepting new patients |
| Maury Regional Hospital | Past | Accepting new patients |
Locations
418 Folly Rd
#A
Charleston, SC 29412
Phone (843) 225-8320
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Charleston, SC
- NPI 1700162203
-
- Clinic/Center
- Hohenwald, TN
- NPI 1023038122
-
- Emergency Medicine Physician
- Union, NJ
- NPI 1689847352
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194220800000",
"number": "1154501443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 TROTWOOD AVE",
"address_2": "MAURY EMERGENCY PHYSICIANS",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "38401",
"telephone_number": "931-388-3915",
"fax_number": "931-388-7119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 TROTWOOD AVE",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384014802",
"telephone_number": "931-388-3915",
"fax_number": "931-388-7119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISER",
"first_name": "ADAM",
"middle_name": "RICHARD",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-05",
"last_updated": "2007-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "1543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.