Stacey S Adams, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Chapel Hill, NC
NPI 1568044089 · NPPES record last updated Oct 12, 2022
Key facts
- NPI
- 1568044089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- CHUN-UF0HMH (NC)
- Practice address
- 6013 Farrington Rd Ste 301
Chapel Hill, NC 27517-8173 - Phone
- (984) 974-6669
- Fax
- (984) 974-9609
- NPI assigned
- Apr 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210611002684 | NC | Order and Referring Only - Pediatric Medicine |
1850791823 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHUN-UF0HMH | NC | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- schung355274@directhisp.wakemed.org
- schung726244@direct.unc.nchie.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NC | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | CHUN-UF0HMH | NC | Yes |
Addresses
Primary practice location
6013 Farrington Rd Ste 301
Chapel Hill, NC 27517-8173
Mailing address
Campus Box 7593
Chapel Hill, NC 27599-7593
Phone (919) 966-3172
Other providers in Chapel Hill, NC
- Michael Christopher Adams
- Rayhaan Adams
- Rebecca Swensen Adams
- Sarah Tatjana Maria Adams
- Sophie Elizabeth Adams
- Valerie J Adams
- Adewole Adamson
- Kimberly N Adamson
- Natalie Adamson
- Sarah Adcock
All providers in Chapel Hill, NC · Student in an Organized Health Care Education/Training Program in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.