Adams Primary Care, PC
Organization Active NPI Family Medicine Physician · Danielsville, GA
NPI 1174630552 · NPPES record last updated Jun 14, 2021
Key facts
- NPI
- 1174630552
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ADAMS PRIMARY CARE, PC
- Practice address
- 25 Nomora Drive
Danielsville, GA 30633 - Phone
- (706) 795-9588
- NPI assigned
- Aug 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Kevin Scott Adams, MD
- Title
- Owner
- Phone
- (706) 795-9588
Practitioners 4
-
Jenny Edwards Tolley, FNP-C
-
Sara E. Swann, NP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1023611 | Adams Primary Care PC | Certificate of waiver | Apr 11, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040510000539 | GA | Part B Supplier - Clinic/Group Practice | 3173512795 |
Receives reassigned benefits from 3 practitioners Practice locations: Danielsville, GA |
National Provider Directory
Locations
25 Nomora Dr
Danielsville, GA 30633
Phone (215) 327-6344
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FHBBAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
25 Nomora Drive
Danielsville, GA 30633
Mailing address
PO Box 1110
Danielsville, GA 30633-1110
Phone (706) 795-9588
Other providers in Danielsville, GA
- Kevin Scott Adams
- Tanya Hancock Adams
- Elizabeth Allen
- Amedisys Georgia LLC
- Sabrina Arline Bevelaqua Houghton
All providers in Danielsville, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.