Active NPI
Justin Mathew Adams, NP-C
- Family Nurse Practitioner
- Abingdon, VA
National Provider Identifier
1205027448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024167471
- Practice address
- 613 Campus Dr Ste 200
Abingdon, VA 24210-9700 - Phone
- (276) 628-5141
- Fax
- (276) 628-6889
- NPI assigned
- Aug 5, 2007
- Last updated
- Aug 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024167471 | VA | Primary |
Addresses
Primary practice location
613 Campus Dr Ste 200
Abingdon, VA 24210-9700
Mailing address
15 Palisades PT
Johnson City, TN 37601-3196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13216 | TN | MD | Physical Therapist |
| 0024167471 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Consultants of Tennessee, P.C. | Family | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Hospitalist Physician
- Johnson City, TN
- NPI 1497704050
Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186272000000",
"number": "1205027448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 PALISADES PT",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376013196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 CAMPUS DR STE 200",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242109700",
"telephone_number": "276-628-5141",
"fax_number": "276-628-6889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "JUSTIN",
"middle_name": "MATHEW",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-05",
"last_updated": "2007-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024167471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.