Organization Active NPI

Jimmy Wayne Adams

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Barboursville, WV
National Provider Identifier
1568513935
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
1799 Issued in WV
Legal business name
JIMMY WAYNE ADAMS
Practice address
6007 US Route 60 E
Suite 304
Barboursville, WV 25504-1042
Phone
(304) 736-0825
Fax
(304) 736-3199
NPI assigned
Jan 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Authorized official

Name
Dr. Jimmy Wayne Adams, D.O.
Title
Owner
Phone
(304) 736-0825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X 1799 WV Primary

Addresses

Primary practice location

6007 US Route 60 E
Suite 304
Barboursville, WV 25504-1042

Mailing address

PO Box 328
Barboursville, WV 25504-0328
Phone (304) 736-0825

National Provider Directory

National Provider Directory

Locations

5150 US Route 60
Ste 304
Barboursville, WV 25504
Phone (304) 525-0794

NPI Registry JSON

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1568513935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 328",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255040328",
            "telephone_number": "304-736-0825",
            "fax_number": "304-736-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6007 US ROUTE 60 E",
            "address_2": "SUITE 304",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041042",
            "telephone_number": "304-736-0825",
            "fax_number": "304-736-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMY WAYNE ADAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-14",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-736-0825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "WV",
            "license": "1799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barboursville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.