Individual provider Active NPI

Lindsey Adams, PA

  • Physician Assistant
  • Anna, IL
National Provider Identifier
1336799691
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085007273 Issued in IL
Practice address
513 N Main St
Anna, IL 62906-1697
Phone
(618) 833-4471
Fax
(618) 833-6267
NPI assigned
Sep 18, 2019
Last updated
Aug 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085007273 IL Primary

Addresses

Primary practice location

513 N Main St
Anna, IL 62906-1697

Mailing address

513 N Main St
Anna, IL 62906-1697
Phone (618) 833-4471

Other practice location 1

1340 Cedar Ct
Carbondale, IL 62901-5336
Phone (618) 457-7821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200406001585 IL Practitioner - Physician Assistant 3476989203 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health & Emergency Services, Inc. CurrentSince Feb 11, 2020 Accepting new patients
Rural Health, Inc. CurrentSince Oct 25, 2021 Accepting new patients
Rural Health, Inc. CurrentSince Oct 25, 2021 Accepting new patients
Rural Health, Inc. Past Accepting new patients

Locations

513 N Main St
Anna, IL 62906
Phone (618) 833-4471

13245 Kessler Rd
Cairo, IL 62914
Phone (618) 734-4400

1340 Cedar Ct
Carbondale, IL 62901
Phone (618) 457-7821

211 N Broadway
Goreville, IL 62939
Phone (618) 995-1002

Interoperability endpoints

  • Direct secure messaging: lindsey.adams.1@7601.direct.athenahealth.com

Organizations & group practices 4

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": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1336799691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 N MAIN ST",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629061697",
            "telephone_number": "618-833-4471",
            "fax_number": "618-833-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 N MAIN ST",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629061697",
            "telephone_number": "618-833-4471",
            "fax_number": "618-833-6267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 Cedar Ct",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629015336",
            "country_code": "US",
            "telephone_number": "618-457-7821",
            "fax_number": "618-529-3862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "LINDSEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085007273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anna, IL

Sources for this page

Verify at the official NPI Registry.