Active NPI
Adam Justice, APRN, ACNPC-AG
- Acute Care Nurse Practitioner
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1047251
- Practice address
- 1133 Medical Dr
Tyler, TX 75701-2130 - Phone
- (903) 595-5486
- Fax
- (903) 595-5128
- NPI assigned
- Aug 12, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 220881 | LA | |
| Acute Care Nurse Practitioner | 363LA2100X | 1047251 | TX | Primary |
Addresses
Primary practice location
1133 Medical Dr
Tyler, TX 75701-2130
Mailing address
1133 Medical Dr
Tyler, TX 75701-2130
Phone (903) 595-5486
Other practice location 1
612 S Fleishel Ave
Tyler, TX 75701-2012
Phone (903) 510-1193
Other practice location 2
1000 S Beckham Ave
Tyler, TX 75701-1908
Phone (903) 593-8441
Other practice location 3
1453 E Bert Koun Loop
Shreveport, LA 71105-6800
Phone (318) 681-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1133 Medical Dr
Tyler, TX 75701-2130
Phone (903) 595-5486
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1047251 | TX | MD | Nurse Practitioner |
| 220881 | LA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tyler Nephrology Associates, P.a. | Current | Accepting new patients |
Locations
1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068
1133 Medical Dr
Tyler, TX 75701
Phone 9035955486173
Interoperability endpoints
- ajustice837238@ahs.direct-ci.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- ajustice47689@direct.acumenmd.com
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 and National Provider Directory roles.
-
- Nephrology Physician
- Tyler, TX
- NPI 1942360326
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Athens, TX
- NPI 1417465824
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1407364847
-
- Rehabilitation Hospital
- Tyler, TX
- NPI 1316911068
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785628800000",
"number": "1225703036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 MEDICAL DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757012130",
"telephone_number": "903-595-5486",
"fax_number": "903-595-5128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 MEDICAL DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757012130",
"telephone_number": "903-595-5486",
"fax_number": "903-595-5128"
}
],
"practiceLocations": [
{
"address_1": "612 S Fleishel Ave",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757012012",
"country_code": "US",
"telephone_number": "903-510-1193",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 S Beckham Ave",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757011908",
"country_code": "US",
"telephone_number": "903-593-8441",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1453 E Bert Koun Loop",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711056800",
"country_code": "US",
"telephone_number": "318-681-4500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUSTICE",
"first_name": "ADAM",
"credential": "APRN, ACNPC-AG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-12",
"last_updated": "2026-08-02",
"certification_date": "2026-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "LA",
"license": "220881",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "1047251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.