Jon E Adams, PA
Individual provider Active NPI Internal Medicine Physician · Troy, AL
NPI 1568420628 · NPPES record last updated Apr 4, 2019
Key facts
- NPI
- 1568420628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- PA-154 (AL)
- Practice address
- 5500 County Road 37
Troy, AL 36081-8127 - Phone
- (334) 670-2122
- Fax
- (334) 670-2103
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-154 | AL | MD | Internal Medicine Physician |
| PA.154 | AL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premise Health of Alabama Medical PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.154 | AL | |
| Internal Medicine Physician | 207R00000X | PA-154 | AL | Yes |
Addresses
Primary practice location
5500 County Road 37
Troy, AL 36081-8127
Mailing address
5500 County Road 37
Troy, AL 36081-8127
Phone (334) 670-2122
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000044791 | Medicaid | AL | |
| 051044791 | Other | AL | BLUE CROSS NUMBER |
| 1568420628 | Other | AL | NPI |
Other providers in Troy, AL
- A New Beginning for You, Inc.
- Masey Merritt Adams
- Alabama CVS Pharmacy, L.L.C.
- Alabama Orthopedic Care PC
- Alacare Home Health Services, Inc.
- Reagan Clair Alberson
All providers in Troy, AL · Internal Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.