Organization Active NPI

Boone Neurological Services, PA

  • Neurology Physician
  • Boone, NC
National Provider Identifier
1184804320
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
NC9601697 Issued in NC
Legal business name
BOONE NEUROLOGICAL SERVICES, PA
Practice address
895 State Farm Rd
Suite 501
Boone, NC 28607-4917
Phone
(828) 264-7720
Fax
(828) 264-7636
NPI assigned
Nov 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Dr. Suzanne Elaine McAdams, MDNPI 1497854889
Title
Neurologist
Phone
(828) 264-7720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X NC9601697 NC Primary

Addresses

Primary practice location

895 State Farm Rd
Suite 501
Boone, NC 28607-4917

Mailing address

895 State Farm Rd
Suite 501
Boone, NC 28607-4917
Phone (828) 264-7720

Other identifiers 3

IdentifierTypeStateIssuer
790276MedicaidNC
0276FOtherNCBCBS
2243588AOtherNCMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100212000720 NC Part B Supplier - Clinic/Group Practice 2769526821 Receives reassigned benefits from 1 practitioner
Practice locations: Boone, NC

National Provider Directory

National Provider Directory

Locations

895 State Farm Rd
Ste 501
Boone, NC 28607
Phone (828) 264-7720

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1184804320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 STATE FARM RD",
            "address_2": "SUITE 501",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074917",
            "telephone_number": "828-264-7720",
            "fax_number": "828-264-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 STATE FARM RD",
            "address_2": "SUITE 501",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074917",
            "telephone_number": "828-264-7720",
            "fax_number": "828-264-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONE NEUROLOGICAL SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "MCADAMS",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "NEUROLOGIST",
        "authorized_official_telephone_number": "828-264-7720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "NC9601697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790276",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0276F",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2243588A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.