Active NPI
Jeffery A Adams, MD
- Anesthesiology Physician
- Statesville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 107571
- 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, 2008
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5900480 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 107571 | NC | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Connections-Virginia, LLC | Anesthesiology | Current | 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.
-
dba Anesthesia Connections
- Anesthesiology Physician
- Midlothian, VA
- NPI 1922337930
-
- Pain Medicine Physician
- Salisbury, NC
- NPI 1932936226
-
- Ambulatory Surgical Clinic/Center
- High Point, NC
- NPI 1053528463
-
- Anesthesiology Physician
- Statesville, NC
- NPI 1720068935
-
- Anesthesiology Physician
- Bluefield, WV
- NPI 1376636571
-
dba St. Luke's Hospital
- General Acute Care Hospital
- Bluefield, WV
- NPI 1265486583
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.