Individual provider Active NPI

Trent Elliott Adams, DO

  • Pediatrics Physician
  • Conway, AR
National Provider Identifier
1194344838
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
E-16868 Issued in AR
Practice address
2505 College Ave
Conway, AR 72034-6135
Phone
(501) 327-6000
Fax
(601) 918-2086
NPI assigned
Apr 13, 2020
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X E-16868 AR Primary

Addresses

Primary practice location

2505 College Ave
Conway, AR 72034-6135

Mailing address

2405 Grummer LN
Conway, AR 72034-2008
Phone (501) 351-1516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240926000183 AR Practitioner - Pediatric Medicine 1456763952 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
E-16868ARMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group CurrentSince Oct 1, 2024 Accepting new patients
Arkansas Health Group CurrentSince Oct 1, 2024 Accepting new patients
Arkansas Health Group Past Accepting new patients

Locations

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

3201 Springhill Dr
Ste 30
North Little Rock, AR 72117
Phone (501) 753-4132

3201 Springhill Dr
Ste 300
North Little Rock, AR 72117
Phone (501) 753-4132

Interoperability endpoints

  • Direct secure messaging: tadams714789@direct.baptist-healthar.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1194344838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 GRUMMER LN",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720342008",
            "telephone_number": "501-351-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346135",
            "telephone_number": "501-327-6000",
            "fax_number": "601-918-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "TRENT",
        "middle_name": "ELLIOTT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-13",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-16868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.