Active NPI
Dean Adkins, PA
- Medical Physician Assistant
- Tupelo, MS
National Provider Identifier
1285655605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA065
- Practice address
- 830 S Gloster St
Tupelo, MS 38801-4934 - Phone
- (866) 754-3852
- Fax
- (205) 313-5245
- NPI assigned
- Jul 21, 2006
- Last updated
- Oct 8, 2009
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA065 | MS | Primary |
| Emergency Medicine Physician | 207P00000X | PA00065 | MS |
Addresses
Primary practice location
830 S Gloster St
Tupelo, MS 38801-4934
Mailing address
108 Cedar Green Dr
Canton, MS 39046-3367
Phone (601) 826-8923
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1452033 | Medicaid | LA | |
| 01027725 | Medicaid | MS |
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA00065 | MS | MD | Emergency Medicine Physician |
| PA065 | MS | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians of Montgomery County, PLLC | Emergency Medicine | Past | Accepting new patients |
| North Ms Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Emergency Services Network, PLLC. | Emergency Medicine | Past | Accepting new patients |
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.
-
- Emergency Medicine Physician
- Tupelo, MS
- NPI 1891724035
-
- Emergency Medicine Physician
- Clarksville, TN
- NPI 1336166388
-
- Emergency Medicine Physician
- Clarksville, TN
- NPI 1902852007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254960000000",
"number": "1285655605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 CEDAR GREEN DR",
"city": "CANTON",
"state": "MS",
"postal_code": "390463367",
"telephone_number": "601-826-8923",
"fax_number": "205-313-5245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 S GLOSTER ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014934",
"telephone_number": "866-754-3852",
"fax_number": "205-313-5245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADKINS",
"first_name": "DEAN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2009-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MS",
"license": "PA065",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "PA00065",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1452033",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01027725",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
- Kristen Adams
- Robert Adams
- Stephanie Peiffer Adams, PT, OTR/L
- Maheen Adeeb, M.D
- Omoloro Nadia Adeleke, MD
- Advanced Diabetes Management Center LLC
- Advanced Healing Solutions LLC
- Advantageplus Marketing Firm LLC
- Advantageplus Marketing Firm, LLC (AdvantagePLUS Marketing Firm, LLC Durable Medical Equipment)
- Rachael Ehimudiamen Agbator, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.