John Rollin Adams, PA-C
Individual provider Active NPI Physician Assistant · Monahans, TX
NPI 1184644155 · NPPES record last updated Jul 7, 2023
Key facts
- NPI
- 1184644155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA04306 (TX)
- Practice address
- 406 S Gary Ave
Monahans, TX 79756-4799 - Phone
- (432) 943-2511
- Fax
- (432) 943-9415
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McCamey County Hospital District
Practice addresses (Care Compare)
2500 Hwy 305 S
McCamey, TX 79752
Phone (915) 652-8626
Hospital & facility affiliations
- MC Camey Hospital
- MC Camey Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100202000928 | TX | Practitioner - Physician Assistant | 6204979057 | Reassigns benefits to 9 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA04306 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCamey County Hospital District | Current |
Accepting new patients | |
| Ucp Physicians of Central Texas, PLLC | Current |
Accepting new patients | |
| Dallam-Hartley Counties Hospital District | Physician Assistant | Current |
Accepting new patients |
| Dallam-Hartley Counties Hospital District | Current |
Accepting new patients | |
| Valley Emergency Physicians New Mexico PC | Past | Accepting new patients |
Locations
6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627
1411 Denver Ave
Dalhart, TX 79022
Phone (806) 244-4571
1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330
1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100
Interoperability endpoints
- jadams183584@yourcarecommunity.org
- john.adams.1@26284.direct.athenahealth.com
- john.adams.1@14590.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA04306 | TX | Yes |
Addresses
Primary practice location
406 S Gary Ave
Monahans, TX 79756-4799
Mailing address
406 S Gary Ave
Monahans, TX 79756-4799
Phone (432) 943-2511
Other practice location 1
2500 Highway 305 South
McCamey, TX 79752-1200
Phone (432) 652-8626
Other providers in Monahans, TX
- A & D Medical Center, LLC
- Eduardo Aguilar
- B & T Managed Care LLC
- B & T Management Company LLC
- Maricela Bazan
- Dee A Bean
All providers in Monahans, TX · Physician Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2023. 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.
- Order and Referring (CMS).
- 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.