Individual provider Active NPI

Lawrence Mark Adams, M.D.

  • Pediatric Gastroenterology Physician
  • West Palm Beach, FL
National Provider Identifier
1598760647
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
ME50609 Issued in FL
Practice address
4631 N Congress Ave Ste 101
West Palm Beach, FL 33407-3238
Phone
(561) 840-1960
Fax
(561) 863-8155
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X ME50609 FL Primary

Addresses

Primary practice location

4631 N Congress Ave Ste 101
West Palm Beach, FL 33407-3238

Mailing address

4631 N Congress Ave Ste 101
West Palm Beach, FL 33407-3238
Phone (561) 840-1960

Other identifiers 1

IdentifierTypeStateIssuer
045957700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME50609FLMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adams & Stephens, PA Pediatric Gastroenterology CurrentSince Aug 2, 2020 Accepting new patients

Locations

4631 N Congress Ave
Ste 101
West Palm Beach, FL 33407
Phone (561) 840-1960

5325 Greenwood Ave
Ste 304
West Palm Beach, FL 33407
Phone (321) 840-1960

Interoperability endpoints

  • Direct secure messaging: lawrence.adams.p4@direct.painreliefcenters.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1598760647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 N CONGRESS AVE STE 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073238",
            "telephone_number": "561-840-1960",
            "fax_number": "561-863-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 N CONGRESS AVE STE 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073238",
            "telephone_number": "561-840-1960",
            "fax_number": "561-863-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "LAWRENCE",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "FL",
            "license": "ME50609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045957700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.