Andrea L Adamczak, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110002205 Issued in VA

Practice address

2321 Atherholt Road
Lynchburg, VA 24501-2113

Phone

(434) 947-3993

Fax

(434) 847-2941

NPI assigned

Nov 18, 2005

Last updated

Aug 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Blue Ridge E N T & P S Inc.

  • Otolaryngology Physician
  • Lynchburg, VA
  • NPI 1376551044
  Medicare reassignment

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1477535938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 ATHERHOLT ROAD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012113",
            "telephone_number": "434-947-3993",
            "fax_number": "434-847-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 ATHERHOLT ROAD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012113",
            "telephone_number": "434-947-3993",
            "fax_number": "434-847-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMCZAK",
        "first_name": "ANDREA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javier Ben Acosta, LPTA
• Olivia Ruth Acree, MA, NBCC
• Active Mobility, Inc
• Acupuncture Wellness Center
• Acupuncture Works, LLC
• Courtney Dale Adams, ATC
• Kelley Michelle Adams, PA-C
• Nicole Adams, LPC
• Sarah Addair
• Doreen Addison

• Physician Assistant in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.

Verify at the official NPI Registry.