NPIMap

Organization Active NPI

Dr. John C. Adams, Jr., PC

  • Community/Behavioral Health Agency
  • Statesboro, GA
National Provider Identifier
1669749305
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
359 Issued in GA
Legal business name
DR. JOHN C. ADAMS, JR., PC
Practice address
102 S Zetterower Ave
Statesboro, GA 30458-4816
Phone
(912) 764-6731
Fax
(912) 764-6731
NPI assigned
Nov 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Dr. John C Adams Jr., ED. D.
Title
Owner
Phone
(912) 764-6731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 359 GA Primary

Addresses

Primary practice location

102 S Zetterower Ave
Statesboro, GA 30458-4816

Mailing address

102 S Zetterower Ave
Statesboro, GA 30458-4816
Phone (912) 764-6731

National Provider Directory

National Provider Directory

Locations

102 S Zetterower Ave
Statesboro, GA 30458
Phone (912) 764-6731

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1669749305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S ZETTEROWER AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584816",
            "telephone_number": "912-764-6731",
            "fax_number": "912-764-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S ZETTEROWER AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584816",
            "telephone_number": "912-764-6731",
            "fax_number": "912-764-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOHN C. ADAMS, JR., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-764-6731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "ED. D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.