Prentiss Wayne Adkins Sr., D.O.
Individual provider Active NPI Adult Medicine Physician · Dagsboro, DE
NPI 1174528772 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1174528772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Medicine Physician 207QA0505X
- License
- C2-0002872 (DE)
- Practice address
- 29475 Vines Creek Rd
Dagsboro, DE 19939-3839 - Phone
- (302) 732-9593
- Fax
- (302) 732-9598
- NPI assigned
- Jun 20, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | C2-0002872 | DE | Yes |
Addresses
Primary practice location
29475 Vines Creek Rd
Dagsboro, DE 19939-3839
Mailing address
29475 Vines Creek Rd
Dagsboro, DE 19939-3839
Phone (302) 732-9593
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 876323 | Other | DE | AETNA |
| 52367105 | Other | DE | CAREFIRST MD |
| 210214 | Other | DE | COVENTRY |
| 2126367 | Other | DE | MAMSI |
| 0000167603 | Medicaid | DE |
Other providers in Dagsboro, DE
All providers in Dagsboro, DE · Adult Medicine Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.