Active NPI
Adam A. Adams, NURSING, TECH
- Behavior Technician
- Savannah, GA
National Provider Identifier
1366975294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- CN0000140026
- Practice address
- 10714 Abercorn St
BLDG 34D
Savannah, GA 31419-1421 - Phone
- (443) 721-1842
- NPI assigned
- Apr 7, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CN0000140026 | GA | Primary |
Addresses
Primary practice location
10714 Abercorn St
BLDG 34D
Savannah, GA 31419-1421
Mailing address
10714 Abercorn St
BLDG 34D
Savannah, GA 31419-1421
Phone (443) 721-1842
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CN0000140026 | GA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491523200000",
"number": "1366975294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10714 ABERCORN ST",
"address_2": "BLDG 34D",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314191421",
"telephone_number": "443-721-1842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10714 ABERCORN ST",
"address_2": "BLDG 34D",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314191421",
"telephone_number": "443-721-1842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "ADAM",
"middle_name": "A.",
"name_prefix": "Mr.",
"credential": "NURSING, TECH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-07",
"last_updated": "2017-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "CN0000140026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.