Individual provider Active NPI

Nicholas Adams

  • Certified Registered Nurse Anesthetist
  • Chatham, LA
National Provider Identifier
1497021935
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP06778 Issued in LA
Practice address
466 Colby Jean Rd
Chatham, LA 71226-9788
Phone
(318) 737-9814
NPI assigned
Mar 29, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP06778 LA Primary
Certified Registered Nurse Anesthetist 367500000X 9341335 FL
Certified Registered Nurse Anesthetist 367500000X 28218373A IN

Addresses

Primary practice location

466 Colby Jean Rd
Chatham, LA 71226-9788

Mailing address

466 Colby Jean Rd
Chatham, LA 71226-9788
Phone (318) 737-9814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120420000566 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739340555 Reassigns benefits to 10 organizations
I20120806000739 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739340555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indep Anesthesia Services of la LLCGroup PAC ID 1355791062, 7 clinicians
University Health Shreveport, LLCGroup PAC ID 7416207196, 64 clinicians
Homer Memorial HospitalGroup PAC ID 1456322692, 22 clinicians

Practice addresses (Care Compare)

1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105-5634
Phone (318) 798-4500

1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 626-0000

620 E College St
Homer, LA 71040-3202
Phone (318) 927-2024

Hospital & facility affiliations

  • Claiborne Memorial Medical Center Hospital, Homer, LA, CCN 190114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
9341335FLMDCertified Registered Nurse Anesthetist
28218373AINMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Indep Anesthesia Services of la LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2023 Accepting new patients
Homer Memorial Hospital CurrentSince Oct 1, 2021 Accepting new patients
Medical Center Anesthesiologists CurrentSince Oct 1, 2017 Accepting new patients
Amsol Anesthetists of Georgia LLC-Hughston Surgical Center Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2012 Accepting new patients
Tandem Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2021 Accepting new patients
University Health Shreveport LLC CurrentSince Aug 9, 2021 Accepting new patients
Bayou Anesthesia Group LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2013 Accepting new patients
Christus Health Northern Louisiana CurrentSince May 11, 2018 Accepting new patients
Lsu Health Sciences Center Shreveport Faculty Group Practice CurrentSince Aug 9, 2021 Accepting new patients
Christus Health Northern Louisiana Nurse Anesthetist, Certified Registered CurrentSince May 11, 2018 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince May 10, 2021 Accepting new patients
Shreveport Sedation Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients
Amsol Anesthetists of Georgia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2012 Accepting new patients
Homer Memorial Hospital Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2021 Accepting new patients

Locations

4401 Riverchase Dr
Phenix City, AL 36867
Phone (334) 732-3000

3220 N St NW
Washington, DC 20007
Phone (202) 338-6051

616 19th St
Columbus, GA 31901
Phone (706) 494-4262

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

411 Coleman Ave
Ste 102
Bossier City, LA 71111
Phone (318) 585-2000

1635 Marvel St
Coushatta, LA 71019
Phone (318) 932-2000

901 James Ave
Farmerville, LA 71241
Phone (318) 210-9020

620 E College St
Homer, LA 71040
Phone (318) 927-2024

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

4864 Jackson St
Monroe, LA 71202
Phone (318) 330-7000

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

457 Ashley Ridge Blvd
Shreveport, LA 71106
Phone (318) 861-1260

445 Ashley Ridge Blvd
Shreveport, LA 71106
Phone (318) 869-1130

1500 Line Ave
Ste 206
Shreveport, LA 71101
Phone (318) 213-3800

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

3217 Mabel St
Shreveport, LA 71103

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434

1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 300-3643

6225 State Highway 161
Ste 200
Irving, TX 75038
Phone (214) 687-0496

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1497021935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 COLBY JEAN RD",
            "city": "CHATHAM",
            "state": "LA",
            "postal_code": "712269788",
            "telephone_number": "318-737-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 COLBY JEAN RD",
            "city": "CHATHAM",
            "state": "LA",
            "postal_code": "712269788",
            "telephone_number": "318-737-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "NICHOLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-29",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP06778",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9341335",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28218373A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.