Active NPI
Jim D Adkins, PA
- Dermatology Physician
- Marietta, GA
National Provider Identifier
1164442562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 052722
- Practice address
- 111 Marble Mill Road
Marietta, GA 30060-1047 - Phone
- (770) 422-1013
- Fax
- (770) 514-5996
- NPI assigned
- Jul 20, 2006
- Last updated
- Apr 16, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 004533 | GA | |
| Dermatology Physician | 207N00000X | 052722 | GA | Primary |
Addresses
Primary practice location
111 Marble Mill Road
Marietta, GA 30060-1047
Mailing address
111 Marble Mill Road
Marietta, GA 30060-1047
Phone (770) 422-1013
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052722 | GA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rami E Geffner MD PA | Dermatology | Past | Accepting new patients |
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": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397606400000",
"number": "1164442562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 MARBLE MILL ROAD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601047",
"telephone_number": "770-422-1013",
"fax_number": "770-514-5996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MARBLE MILL ROAD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601047",
"telephone_number": "770-422-1013",
"fax_number": "770-514-5996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADKINS",
"first_name": "JIM",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2014-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "004533",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "GA",
"license": "052722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.