Individual provider Active NPI

Adam Frederick Stewart, M.D.

  • Urology Physician
  • Germantown, TN
National Provider Identifier
1659544385
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
48061 Issued in TN
Practice address
1325 Wolf Park Dr
Suite 102
Germantown, TN 38138-1759
Phone
(901) 252-3400
Fax
(901) 763-4305
NPI assigned
Apr 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 48061 TN Primary

Addresses

Primary practice location

1325 Wolf Park Dr
Suite 102
Germantown, TN 38138-1759

Mailing address

1325 Wolf Park Dr Ste 103
Germantown, TN 38138-1759
Phone (901) 252-3411

Other practice location 1

3145 Players Club Pkwy Ste 102
Memphis, TN 38125-8835
Phone (901) 252-3400

Other practice location 2

125 Guthrie Dr
Southaven, MS 38671-5829
Phone (662) 349-1964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120611000433 TN Practitioner - Urology 2961666524 Reassigns benefits to 1 organization
I20120730000169 MS Practitioner - Urology 2961666524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Tennessee, HSC, College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conrad Pearson Clinic PCGroup PAC ID 7315832649, 23 clinicians

Practice addresses (Care Compare)

125 Guthrie Dr
Southaven, MS 38671-5829
Phone (662) 349-1964

1325 Wolf Park Dr
Suite 102
Germantown, TN 38138-1759
Phone 90125234113495

Hospital & facility affiliations

  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Methodist Healthcare - Olive Branch Hospital Hospital, Olive Branch, MS, CCN 250167

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection50
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48061TNMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conrad Pearson Clinic PC Urology CurrentSince May 4, 2012 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Apr 22, 2024 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
North Mississippi Medical Center Current Accepting new patients
North Mississippi Medical Center Inc CurrentSince Apr 22, 2024 Accepting new patients
Conrad Pearson Clinic PC Urology CurrentSince May 4, 2012 Accepting new patients
Conrad Pearson Clinic PastSince Dec 6, 2020 Accepting new patients

Locations

125 Guthrie Dr
Southaven, MS 38671
Phone (601) 349-1964

499 Gloster Creek Vlg
Ste 4
Tupelo, MS 38801
Phone (662) 377-6470

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

1325 Wolf Park Dr
Ste 103
Memphis, TN 38138

1325 Wolf Park Dr
Ste 102
Memphis, TN 38138
Phone (901) 252-3400

3145 Players Club Pkwy
Memphis, TN 38125
Phone (901) 252-3400

3145 Players Club Pkwy
Ste 102
Memphis, TN 38125
Phone (901) 252-3400

Interoperability endpoints

  • Direct secure messaging: adam.stewart.p1@direct.cpc.nextgenshare.com
  • Direct secure messaging: astewart22834@mlh.direct-ci.com
  • Direct secure messaging: adamstewart@nmhs.medalliesdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1659544385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 WOLF PARK DR STE 103",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381759",
            "telephone_number": "901-252-3411",
            "fax_number": "901-763-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 WOLF PARK DR",
            "address_2": "SUITE 102",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381759",
            "telephone_number": "901-252-3400",
            "fax_number": "901-763-4305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3145 Players Club Pkwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381258835",
            "country_code": "US",
            "telephone_number": "901-252-3400",
            "fax_number": "901-763-4305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Guthrie Dr",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386715829",
            "country_code": "US",
            "telephone_number": "662-349-1964",
            "fax_number": "901-763-4305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "ADAM",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-02",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "48061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.