Active NPI
James Gray Adams, M.D.
- General Practice Physician
- Cleveland, MS
National Provider Identifier
1396964631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 07022
- Practice address
- 208 S Pearman Ave
Cleveland, MS 38732-3248 - Phone
- (662) 843-4397
- NPI assigned
- Apr 25, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 07022 | MS | Primary |
Addresses
Primary practice location
208 S Pearman Ave
Cleveland, MS 38732-3248
Mailing address
208 S Pearman Ave
Cleveland, MS 38732-3248
Phone (662) 843-4397
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150127000017 | MS | Practitioner - Psychiatry | 8325362163 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07022 | MS | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Region VI Community Mental Health Commission | Current | Accepting new patients | |
| Garden Park | Past | Accepting new patients |
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.
-
dba Life Help
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greenwood, MS
- NPI 1154433233
-
dba Region VI Mental Health/Mental Retardation Commission
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greenwood, MS
- NPI 1932437209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396964631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 S PEARMAN AVE",
"city": "CLEVELAND",
"state": "MS",
"postal_code": "387323248",
"telephone_number": "662-843-4397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 S PEARMAN AVE",
"city": "CLEVELAND",
"state": "MS",
"postal_code": "387323248",
"telephone_number": "662-843-4397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "JAMES",
"middle_name": "GRAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MS",
"license": "07022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.