Adannaya C Inyama, MPAS PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA17297 Issued in TX

Practice address

402 W Wheatland Rd Ste 140
Duncanville, TX 75116-4628

Phone

(833) 691-3273

NPI assigned

Nov 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cardinal Support LLCGroup PAC ID 0840626800, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cardinal Support LLC

  dba Ease Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Vancouver, WA
  • NPI 1699312314

  TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1174380687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W WHEATLAND RD STE 140",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164628",
            "telephone_number": "833-691-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W WHEATLAND RD STE 140",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164628",
            "telephone_number": "833-691-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "replacement_npi": "1174380687",
        "last_name": "INYAMA",
        "first_name": "ADANNAYA",
        "middle_name": "C",
        "credential": "MPAS PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-02",
        "last_updated": "2024-03-01",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Karen Immler, M.S., CCC/SLP
• Innovative Centered Counseling Inc.
• Inspiring Dreams Agency
• Intouch Health Care Services, LLC
• Intouch Health Services, LLC
• Boris Ioffe, D.O.
• Shireen K Irani, DDS
• Italy Family Pharmacy Inc (Pharmacia Sana)
• Adeola Iyamah, DNP, PMHNP-BC.
• J & J Healthcare Clinic (J and J Healthcare Services)

• Physician Assistant in Duncanville, TX
• Providers in Duncanville, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.