Individual provider Active NPI

Bereshith Noah Adams, NP

  • Nurse Practitioner
  • Fayetteville, GA
National Provider Identifier
1497026066
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-NP296172 Issued in GA
Practice address
1265 Highway 54 W Ste 305
Fayetteville, GA 30214-4537
Phone
(770) 719-5660
NPI assigned
Jan 13, 2012
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-NP296172 GA Primary
Nurse Practitioner 363L00000X 4881 CT
Nurse Practitioner 363L00000X 5013966 NC
Surgery Physician 208600000X APRN-NP296172 GA

Addresses

Primary practice location

1265 Highway 54 W Ste 305
Fayetteville, GA 30214-4537

Mailing address

1000 Asylum Avenue
Suite 2109a
Hartford, CT 06105
Phone (860) 714-5058

Other practice location 1

114 Woodland Street
Dept of Surgery
Hartford, CT 06105
Phone (860) 714-4694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120215000894 CT Practitioner - Nurse Practitioner 4284892597 Reassigns benefits to 1 organization
I20220421001765 GA Practitioner - Nurse Practitioner 4284892597 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Connecticut School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians
Restore First Health Marietta LLCGroup PAC ID 6305202268, 2 clinicians
Restore First Health Riverdale LLCGroup PAC ID 5890141550, 2 clinicians

Practice addresses (Care Compare)

10680 Medlock Bridge Rd
Suite 204
Johns Creek, GA 30097-8420
Phone (678) 580-2684

1265 Hwy 54 W
Fayetteville, GA 30214-4548
Phone (770) 719-7000

2550 Windy Hill Rd SE
Suite 115
Marietta, GA 30067-8607
Phone (678) 580-2684

34 Upper Riverdale Rd SE
Suite 101
Riverdale, GA 30274-2635
Phone (470) 292-3820

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-NP296172GAMDSurgery Physician
4881CTMDNurse Practitioner
5013966NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc Nurse Practitioner CurrentSince Feb 20, 2012 Accepting new patients
Guardian Biologics LLC CurrentSince Mar 17, 2025 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Feb 20, 2012 Accepting new patients
Healogics Specialty Physicians of Georgia, LLC CurrentSince Mar 1, 2022 Accepting new patients
Healogics Specialty Physicians of Georgia, LLC CurrentSince Mar 1, 2022 Accepting new patients
Regional Healthcare Group LLC CurrentSince Mar 17, 2025 Accepting new patients
Restore First Health Marietta LLC CurrentSince Oct 25, 2024 Accepting new patients
Restore First Health Riverdale LLC CurrentSince Oct 25, 2024 Accepting new patients
Mobile Wound Care Solutions LLC CurrentSince Apr 23, 2025 Accepting new patients
Piedmont Providers LLC CurrentSince Jan 8, 2026 Accepting new patients
Duluth Regenerative and Joint Institute LLC CurrentSince Oct 25, 2024 Accepting new patients
Prime Regen Decatur CurrentSince Oct 25, 2024 Accepting new patients
Saint Francis Care Medical Group, PC Past Accepting new patients

Locations

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

19 Woodland St
Ste 43
Hartford, CT 06105
Phone (860) 549-4600

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

2680 Lawrenceville Hwy
Ste 101
Decatur, GA 30033
Phone (470) 292-3820

1265 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-7000

1265 Highway 54 W
Ste 305
Fayetteville, GA 30214
Phone (770) 719-5660

10680 Medlock Bridge Rd
Ste 204
Johns Creek, GA 30097
Phone (470) 292-3820

2550 Windy Hill Rd SE
Ste 115
Marietta, GA 30067
Phone (678) 580-2684

2151 W Spring St
Ste 230
Monroe, GA 30655
Phone (770) 266-1110

705 Breedlove Dr
Ste 300
Monroe, GA 30655
Phone (678) 635-7221

34 Upper Riverdale Rd SE
Ste 101
Riverdale, GA 30274
Phone (470) 292-3820

Interoperability endpoints

  • Direct secure messaging: bereshith.adams.1@28696.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

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": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1497026066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVENUE",
            "address_2": "SUITE 2109A",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06105",
            "telephone_number": "860-714-5058",
            "fax_number": "860-714-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 HIGHWAY 54 W STE 305",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144537",
            "telephone_number": "770-719-5660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Woodland Street",
            "address_2": "Dept of Surgery",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "06105",
            "country_code": "US",
            "telephone_number": "860-714-4694",
            "fax_number": "860-714-8097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "BERESHITH",
        "middle_name": "NOAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-13",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "APRN-NP296172",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "4881",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5013966",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "APRN-NP296172",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.