Active NPI
Carol Joy Adams, CRNA
- Certified Registered Nurse Anesthetist
- Williamsport, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN624890
- Practice address
- 700 High St
Williamsport, PA 17701-3198 - Phone
- (570) 321-2385
- Fax
- (570) 321-2479
- NPI assigned
- Dec 31, 2010
- Last updated
- Feb 10, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 085688 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | RN624890 | PA | Primary |
Addresses
Primary practice location
700 High St
Williamsport, PA 17701-3198
Mailing address
1201 Grampian Blvd
Suite 1K
Williamsport, PA 17701-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1025708190001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085688 | NC | MD | Certified Registered Nurse Anesthetist |
| RN624890 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Anesthesia Services Group Inc | Current | Accepting new patients |
Locations
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
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.
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Stanly
- General Acute Care Hospital
- Albemarle, NC
- NPI 1104627926
-
dba Atrium Health Stanly Behavioral Health
- Psychiatric Hospital Unit
- Albemarle, NC
- NPI 1740081553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328832000000",
"number": "1285938563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 GRAMPIAN BLVD",
"address_2": "SUITE 1K",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177011900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 HIGH ST",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177013198",
"telephone_number": "570-321-2385",
"fax_number": "570-321-2479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "CAROL",
"middle_name": "JOY",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-31",
"last_updated": "2012-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "085688",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN624890",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1025708190001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsport, PA
- 1201 Rural Avenue Operations LLC (Rose View Center)
- 4 DS Home Care LLC
- A Home Health Care LLC (A Healthcare Services)
- Able Therapy Services, Inc
- Nancy Amma Abu-Bonsrah, MD
- Kristin Adams, M.D.
- Wesley Harl Adams, M.D.
- Comfort Y Adewunmi, DO
- Advanced Medical and Rehab of Williamsport, P.C.
- Advocate Home Health Care & Private Duty
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.