Individual provider Active NPI

Jamie Beth Adams, D.C.

  • Chiropractor
  • Covington, GA
National Provider Identifier
1386901718
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO08921 Issued in GA
Practice address
2125 Pace St
Suite B
Covington, GA 30014-6659
Phone
(770) 689-6987
NPI assigned
Apr 23, 2012
Last updated
Oct 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO08921 GA Primary

Addresses

Primary practice location

2125 Pace St
Suite B
Covington, GA 30014-6659

Mailing address

2125 Pace St
Suite B
Covington, GA 30014-6659
Phone (770) 689-6987

Other identifiers 1

IdentifierTypeStateIssuer
202I355672OtherGAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121009000076 GA Practitioner - Chiropractic 7113176173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Covington Family Chiropractic LLCGroup PAC ID 3577881127, 4 clinicians
Solid Ground Chiropractic LLCGroup PAC ID 5890182869, 2 clinicians

Practice addresses (Care Compare)

2125 Pace St
Covington, GA 30014-6659
Phone (770) 786-2818

600 S Broad St
Suite A300
Monroe, GA 30655-2598
Phone (470) 930-2447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO08921GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Solid Ground Chiropractic LLC Chiropractor CurrentSince Dec 1, 2021 Accepting new patients
Covington Family Chiropractic LLC Chiropractor CurrentSince Oct 17, 2013 Accepting new patients

Locations

2125 Pace St
Covington, GA 30014
Phone (770) 689-6987

2125 Pace St
Ste B
Covington, GA 30014
Phone (770) 689-6987

600 S Broad St
Ste A300
Monroe, GA 30655
Phone (470) 930-2447

Organizations & group practices 2

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": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381968000000",
    "number": "1386901718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 PACE ST",
            "address_2": "SUITE B",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300146659",
            "telephone_number": "770-689-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 PACE ST",
            "address_2": "SUITE B",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300146659",
            "telephone_number": "770-689-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JAMIE",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2013-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO08921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I355672",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.