Individual provider Active NPI

Lauren Michelle Adams, DPT

  • Physical Therapist
  • Leland, MS
National Provider Identifier
1669611745
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4489 Issued in MS
Practice address
201 Baker Blvd
Leland, MS 38756-3401
Phone
(662) 686-4121
Fax
(662) 686-4770
NPI assigned
Feb 12, 2009
Last updated
Nov 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4489 MS Primary

Addresses

Primary practice location

201 Baker Blvd
Leland, MS 38756-3401

Mailing address

201 Baker Blvd
Leland, MS 38756-3401
Phone (662) 686-4121

Other identifiers 1

IdentifierTypeStateIssuer
PT-24557OtherFLSTATE OF FLORIDA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190117000295 MS Practitioner - Physical Therapist in Private Practice 6305903444 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT4489MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Health Center, Inc. CurrentSince Oct 19, 2022 Accepting new patients
Delta Health Center, Inc. Past Accepting new patients

Locations

702 Mlk St
Mound Bayou, MS 38762
Phone (662) 741-2151

Interoperability endpoints

  • Direct secure messaging: lauren.adams.p1@direct.deltahc.nextgenshare.com

Organizations & group practices 3

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": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1669611745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BAKER BLVD",
            "city": "LELAND",
            "state": "MS",
            "postal_code": "387563401",
            "telephone_number": "662-686-4121",
            "fax_number": "662-686-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BAKER BLVD",
            "city": "LELAND",
            "state": "MS",
            "postal_code": "387563401",
            "telephone_number": "662-686-4121",
            "fax_number": "662-686-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "LAUREN",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-12",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT4489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA",
            "identifier": "PT-24557",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.