Active NPI
Elyse C Adams, P.A.-C
- Surgical Physician Assistant
- Columbia, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 3039
- Practice address
- 1050 N James Campbell Blvd
200
Columbia, TN 38401-2754 - Phone
- (931) 381-2663
- Fax
- (931) 490-1369
- NPI assigned
- Jan 14, 2014
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3039 | TN | |
| Surgical Physician Assistant | 363AS0400X | 3039 | TN | Primary |
Addresses
Primary practice location
1050 N James Campbell Blvd
200
Columbia, TN 38401-2754
Mailing address
1050 N James Campbell Blvd
200
Columbia, TN 38401-2754
Phone (931) 381-2663
Other practice location 1
1050 N James M Campbell Blvd Ste 200
Columbia, TN 38401-2754
Phone (931) 381-2663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q006789 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140324000299 | NC | Practitioner - Physician Assistant | 0547491276 | Reassigns benefits to 1 organization |
| I20160718001199 | TN | Practitioner - Physician Assistant | 0547491276 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3039 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Orthopaedic Alliance PA | Current | Accepting new patients | |
| Mission Community Anesthesiology Specialists LLC | Current | Accepting new patients | |
| Tennessee Orthopaedic Alliance PA | Current | Accepting new patients | |
| Mission Community Anesthesiology Specialists LLC | Current | Accepting new patients |
Locations
509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325
1 Hospital Dr
Ste 4200
Asheville, NC 28801
Phone (828) 213-1994
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
1050 N James M Campbell Blvd
Ste 200
Columbia, TN 38401
Phone (931) 381-2661
8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155
Interoperability endpoints
- elyse.adamspac.p1@direct.mtbj.nextgenshare.com
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Asheville, NC
- NPI 1457719130
NC
-
- Magnetic Resonance Imaging Radiologic Technologist
- Knoxville, TN
- NPI 1124614581
-
- Multi-Specialty Clinic/Center
- Clarksville, TN
- NPI 1336905561
-
- Clinical Social Worker
- Asheville, NC
- NPI 1235609538
-
- Certified Respiratory Therapist
- Asheville, NC
- NPI 1528538766
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.39 of 100
- Quality
- 77.7
- Promoting interoperability
- 100
- Improvement activities
- 40
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1376965129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 N JAMES CAMPBELL BLVD",
"address_2": "200",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384012754",
"telephone_number": "931-381-2663",
"fax_number": "931-490-1369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 N JAMES CAMPBELL BLVD",
"address_2": "200",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384012754",
"telephone_number": "931-381-2663",
"fax_number": "931-490-1369"
}
],
"practiceLocations": [
{
"address_1": "1050 N James M Campbell Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "TN",
"postal_code": "384012754",
"country_code": "US",
"telephone_number": "931-381-2663",
"fax_number": "931-490-1369",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADAMS",
"first_name": "ELYSE",
"middle_name": "C",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-14",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "3039",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TN",
"license": "3039",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q006789",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.