Individual provider Active NPI

Jeffery A Adams, MD

  • Anesthesiology Physician
  • Statesville, NC
National Provider Identifier
1255301933
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
107571 Issued in NC
Practice address
218 Old Mocksville Rd
Anesthesia Dept
Statesville, NC 28625-1930
Phone
(704) 873-0281
NPI assigned
Jan 25, 2006
Last updated
Nov 12, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 107571 NC Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 107571 NC

Addresses

Primary practice location

218 Old Mocksville Rd
Anesthesia Dept
Statesville, NC 28625-1930

Mailing address

PO Box 651711
Charlotte, NC 28265-1711
Phone (704) 873-0281

Other identifiers 1

IdentifierTypeStateIssuer
5900480MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050317000167 NC Practitioner - Pain ManagementPractitioner - Anesthesiology 8022074186
I20200420000039 VA Practitioner - Anesthesiology 8022074186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Connections-Virginia, LLCGroup PAC ID 6608166335, 14 clinicians

Practice addresses (Care Compare)

10401 Spotsylvania Ave
Suite 203
Fredericksburg, VA 22408-8609
Phone (540) 654-9118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
107571NCMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Connections-Virginia, LLC Anesthesiology CurrentSince Mar 15, 2020 Accepting new patients
Carolina Surgical Center Past Accepting new patients
St. Luke's Princeton LLC Past Accepting new patients
Bluefield Anesthesia Associates Inc Anesthesiology Past Accepting new patients
Tko Anesthesia PA Anesthesiology Past Accepting new patients
Carolina Pain and Weight Loss, PA Past Accepting new patients

Locations

10401 Spotsylvania Ave
Ste 203
Fredericksburg, VA 22408
Phone (540) 654-9118

5215 Monticello Ave
Williamsburg, VA 23188
Phone (757) 229-4000

Organizations & group practices 6

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226448000000",
    "number": "1255301933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 651711",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282651711",
            "telephone_number": "704-873-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 OLD MOCKSVILLE RD",
            "address_2": "ANESTHESIA DEPT",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286251930",
            "telephone_number": "704-873-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JEFFERY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2008-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "107571",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "107571",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900480",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.