Individual provider Active NPI

Juanakee Raedell Adams, O.D.

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1356322218
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-444-TA-297 Issued in AL
Practice address
1712 5TH Ave N
Birmingham, AL 35203-2023
Phone
(205) 323-4608
Fax
(205) 252-0203
NPI assigned
Nov 8, 2005
Last updated
Mar 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-444-TA-297 AL Primary

Addresses

Primary practice location

1712 5TH Ave N
Birmingham, AL 35203-2023

Mailing address

1712 5TH Ave N
Birmingham, AL 35203-2023
Phone (205) 323-4608

Other identifiers 1

IdentifierTypeStateIssuer
000810517MedicaidAL

Other names 1

  • Dr. Juanakee Raedell Adams Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060110000577 AL Practitioner - Optometry 7719900315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1712 5TH Ave N
Birmingham, AL 35203-2023
Phone (205) 232-4608

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adams Eye Care, PC Optometrist CurrentSince May 19, 2006 Accepting new patients

Locations

1712 5th Ave N
Birmingham, AL 35203
Phone (205) 232-4608

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1356322218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 5TH AVE N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352032023",
            "telephone_number": "205-323-4608",
            "fax_number": "205-252-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 5TH AVE N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352032023",
            "telephone_number": "205-323-4608",
            "fax_number": "205-252-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JUANAKEE",
        "middle_name": "RAEDELL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-444-TA-297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000810517",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUANAKEE",
            "last_name": "ADAMS",
            "middle_name": "RAEDELL",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.