Individual provider Active NPI

Terre Wilson Adams, M.D

  • Internal Medicine Physician
  • Lexington, KY
National Provider Identifier
1366479024
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26898 Issued in KY
Practice address
2101 Nicholasville Rd
Suite 106
Lexington, KY 40503-2518
Phone
(859) 278-5926
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 26898 KY Primary

Addresses

Primary practice location

2101 Nicholasville Rd
Suite 106
Lexington, KY 40503-2518

Mailing address

2101 Nicholasville Rd
Suite 106
Lexington, KY 40503-2518
Phone (859) 278-5926

Other identifiers 7

IdentifierTypeStateIssuer
4000501OtherKYMEDICARE LAB GRP
0169OtherKYMEDICARE GROUP NUMBER
0091190OtherKYMEDICARE PTAN
CB5773OtherKYRR MEDICARE GRP
110165587OtherKYRR MEDICARE PIN
64268980MedicaidKY
37903705OtherKYMEDICAID LAB GRP

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26898KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Lexington Clinic, PSC Past Accepting new patients
New Lexington Clinic, PSC Past Accepting new patients
New Lexington Clinic, PSC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1366479024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 NICHOLASVILLE RD",
            "address_2": "SUITE 106",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032518",
            "telephone_number": "859-278-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 NICHOLASVILLE RD",
            "address_2": "SUITE 106",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032518",
            "telephone_number": "859-278-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "TERRE",
        "middle_name": "WILSON",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "26898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LAB GRP",
            "identifier": "4000501",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "0169",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0091190",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GRP",
            "identifier": "CB5773",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "110165587",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64268980",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID LAB GRP",
            "identifier": "37903705",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.