Individual provider Active NPI

Raquel Adams

  • Family Medicine Physician
  • Quitman, GA
National Provider Identifier
1649948092
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RN161435 Issued in GA
Practice address
907 N Court St
Quitman, GA 31643-1315
Phone
(229) 263-4531
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RN161435 GA Primary

Addresses

Primary practice location

907 N Court St
Quitman, GA 31643-1315

Mailing address

907 N Court St
Quitman, GA 31643-1315
Phone (229) 263-4531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230502002802 GA Practitioner - Nurse Practitioner 2860857554 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Patient 1St Health & Wellness Associates, LLC CurrentSince Sep 1, 2021 Accepting new patients
Primary Care of Southwest Georgia, Inc. Family Medicine Current Accepting new patients
Primary Care of Southwest Georgia, Inc CurrentSince May 15, 2023 Accepting new patients
Primary Care of Southwest Georgia, Inc. CurrentSince May 15, 2023 Accepting new patients
Primary Care of Southwest Georgia, Inc. Family Medicine Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

360 College St
Blakely, GA 39823
Phone (229) 723-2660

907 N Court St
Quitman, GA 31643
Phone (229) 263-4531

454 Smith Ave
Thomasville, GA 31792
Phone (229) 227-5510

504 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-0064

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEIBAA

Organizations & group practices 6

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": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1649948092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 N COURT ST",
            "city": "QUITMAN",
            "state": "GA",
            "postal_code": "316431315",
            "telephone_number": "229-263-4531",
            "fax_number": "229-236-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 N COURT ST",
            "city": "QUITMAN",
            "state": "GA",
            "postal_code": "316431315",
            "telephone_number": "229-263-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "RAQUEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "RN161435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quitman, GA

Sources for this page

Verify at the official NPI Registry.