Organization Active NPI

Simon B Adames MD PC

  • Internal Medicine Physician
  • Valdosta, GA
National Provider Identifier
1447572227
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
045155 Issued in GA
Legal business name
SIMON B ADAMES MD PC
Practice address
3386 Greystone Way
Valdosta, GA 31605
Phone
(229) 219-7826
Fax
(229) 219-7407
NPI assigned
Feb 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Authorized official

Name
Mr. Simon B Adames, MD
Title
MD/Owner
Phone
(229) 219-7826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 045155 GA Primary

Addresses

Primary practice location

3386 Greystone Way
Valdosta, GA 31605

Mailing address

3386 Greystone Way
Valdosta, GA 31605
Phone (229) 219-7826

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1447572227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3386 GREYSTONE WAY",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "31605",
            "telephone_number": "229-219-7826",
            "fax_number": "229-219-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3386 GREYSTONE WAY",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "31605",
            "telephone_number": "229-219-7826",
            "fax_number": "229-219-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON B ADAMES MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "ADAMES",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "229-219-7826",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "045155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.