Individual provider Active NPI

Adama Panda, AGNP

  • Adult Health Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1437503943
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R199478 Issued in MD
Practice address
333 Commerce St
700
Nashville, TN 37201-1826
Phone
(615) 454-9850
NPI assigned
Apr 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R199478 MD Primary

Addresses

Primary practice location

333 Commerce St
700
Nashville, TN 37201-1826

Mailing address

400 E Pratt St
8TH Floor
Baltimore, MD 21202-3116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160510000395 MD Practitioner - Nurse Practitioner 1557650850 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jad Wound Care, LLCGroup PAC ID 7719351501, 4 clinicians

Practice addresses (Care Compare)

10463 Owen Brown Rd
Columbia, MD 21044-3835
Phone (301) 660-5654

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Total Elder Care LLC CurrentSince Feb 1, 2022 Accepting new patients
Hyperheal Hyperbarics Inc CurrentSince Nov 1, 2021 Accepting new patients
Jad Wound Care, LLC Adult Health CurrentSince Feb 20, 2023 Accepting new patients
Capital Primary and Geriatric Care, LLC CurrentSince Oct 1, 2020 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Locations

110 Irving St NW
Rm 3114
Washington, DC 20010
Phone (202) 877-0570

5445 Loch Raven Blvd
Ste 203
Baltimore, MD 21239
Phone (443) 444-6100

5601 Loch Raven Blvd
Ste 512A
Baltimore, MD 21239
Phone (443) 444-6112

3330 Wilkens Ave
Baltimore, MD 21229
Phone (410) 525-1544

5601 Loch Raven Blvd
Ste 412
Baltimore, MD 21239
Phone (410) 532-5920

410 E Macphail Rd
Bel Air, MD 21014
Phone (410) 838-7810

5500 Knoll North Dr
Ste 490
Columbia, MD 21045
Phone (410) 964-1000

610 Dutchmans Ln
Easton, MD 21601
Phone (301) 664-2880

1811 Crain Hwy S
Ste B
Glen Burnie, MD 21061

9411 Philadelphia Rd
Ste F
Rosedale, MD 21237
Phone (410) 433-4300

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1437503943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E PRATT ST",
            "address_2": "8TH FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 COMMERCE ST",
            "address_2": "700",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372011826",
            "telephone_number": "615-454-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDA",
        "first_name": "ADAMA",
        "name_prefix": "Ms.",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R199478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.