Active NPI
George W. Adams Jr., M.D.
- Urology Physician
- Homewood, AL
National Provider Identifier
1629023205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 5377
- Practice address
- 3485 Independence Dr
Homewood, AL 35209-5603 - Phone
- (205) 930-0920
- Fax
- (205) 445-0111
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 5377 | AL | Primary |
Addresses
Primary practice location
3485 Independence Dr
Homewood, AL 35209-5603
Mailing address
3485 Independence Dr
Homewood, AL 35209-5603
Phone (205) 930-0920
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0366100001 | Other | AL | CIGNA GOVERNMENT SVC PTAN |
| 0366100001 | Other | AL | MC NSC |
| 104225 | Medicaid | AL | |
| P00649812 | Other | AL | GROUP MEMBER PTAN |
| 1710962550 | Other | AL | MEDICAID BILLING |
| 510I340010 | Other | AL | MEDICARE ID# |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5377 | AL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Clinic, P.C. | Urology | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254096000000",
"number": "1629023205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3485 INDEPENDENCE DR",
"city": "HOMEWOOD",
"state": "AL",
"postal_code": "352095603",
"telephone_number": "205-930-0920",
"fax_number": "205-445-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3485 INDEPENDENCE DR",
"city": "HOMEWOOD",
"state": "AL",
"postal_code": "352095603",
"telephone_number": "205-930-0920",
"fax_number": "205-445-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "GEORGE",
"middle_name": "W.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2009-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AL",
"license": "5377",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA GOVERNMENT SVC PTAN",
"identifier": "0366100001",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MC NSC",
"identifier": "0366100001",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104225",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEMBER PTAN",
"identifier": "P00649812",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID BILLING",
"identifier": "1710962550",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID#",
"identifier": "510I340010",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Homewood, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.