Individual provider Active NPI

Noah Brent Adams

  • Family Nurse Practitioner
  • Marianna, FL
National Provider Identifier
1700517927
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11019787 Issued in FL
Practice address
2928 Daniels St
Marianna, FL 32446-2912
Phone
(850) 526-3555
NPI assigned
Jun 20, 2022
Last updated
Jun 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11019787 FL Primary

Addresses

Primary practice location

2928 Daniels St
Marianna, FL 32446-2912

Mailing address

2928 Daniels St
Marianna, FL 32446-2912
Phone (850) 526-3555

Other practice location 1

2101 Northside Dr Unit 502
Panama City, FL 32405-3687
Phone (850) 250-3220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220816002130 FL Practitioner - Nurse Practitioner 8224411707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Hering Medical College, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lotus Healthcare and Aesthetics LLCGroup PAC ID 4385046242, 2 clinicians

Practice addresses (Care Compare)

340 W 23Rd St
Panama City, FL 32405-7600
Phone (850) 628-0711

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11019787FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Healthcare and Aesthetics LLC Family CurrentSince Jul 1, 2023 Accepting new patients

Locations

340 W 23rd St
Panama City, FL 32405
Phone (850) 215-3911

340 W 23rd St
Ste B
Panama City, FL 32405
Phone (850) 913-9448

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1700517927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 DANIELS ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462912",
            "telephone_number": "850-526-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 DANIELS ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462912",
            "telephone_number": "850-526-3555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Northside Dr Unit 502",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324053687",
            "country_code": "US",
            "telephone_number": "850-250-3220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "NOAH",
        "middle_name": "BRENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11019787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

Verify at the official NPI Registry.