NPIMap

Individual provider Active NPI

Kristan V. Adams, M.D.

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
National Provider Identifier
1730188541
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
057764 Issued in GA
Practice address
275 Collier Rd NW
Suite 100-B
Atlanta, GA 30309-1709
Phone
(404) 350-5815
Fax
(404) 350-5820
NPI assigned
Jul 14, 2005
Last updated
Sep 21, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 057764 GA Primary

Addresses

Primary practice location

275 Collier Rd NW
Suite 100-B
Atlanta, GA 30309-1709

Mailing address

275 Collier Rd NW
Suite 100-B
Atlanta, GA 30309-1709
Phone (404) 350-5815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061220000140 GA Practitioner - Obstetrics/Gynecology 5799784716 Reassigns benefits to 1 organization
I20220117000288 MT Practitioner - Obstetrics/Gynecology 5799784716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Sidney Health CenterGroup PAC ID 0749181535, shared by 6 NPIs, 57 clinicians

Practice addresses (Care Compare)

214 14TH Ave SW
Sidney, MT 59270-3521
Phone (406) 488-2112

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
057764GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sidney Health Center Current Accepting new patients
Sidney Health Center Current Accepting new patients
Sidney Health Center CurrentSince Jan 15, 2022 Accepting new patients
Atlanta Women's Heathcare Specialists, LLC Obstetrics & Gynecology CurrentSince Oct 1, 2006 Accepting new patients
Sidney Health Center CurrentSince Jan 15, 2022 Accepting new patients
Sidney Health Center Past Accepting new patients

Locations

275 Collier Rd NW
Ste 100A
Atlanta, GA 30309
Phone (404) 352-1235

275 Collier Rd NW
Ste 100B
Atlanta, GA 30309
Phone (404) 352-1235

214 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

216 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

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

Hospital & facility affiliations 9

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1730188541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 COLLIER RD NW",
            "address_2": "SUITE 100-B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091709",
            "telephone_number": "404-350-5815",
            "fax_number": "404-350-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 COLLIER RD NW",
            "address_2": "SUITE 100-B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091709",
            "telephone_number": "404-350-5815",
            "fax_number": "404-350-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "KRISTAN",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "057764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.