Individual provider Active NPI

Amanda Faulk Adams, DNP

  • Family Nurse Practitioner
  • Indian Trail, NC
National Provider Identifier
1750807012
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5009876 Issued in NC
Practice address
1001 Van Buren Ave Ste a
Indian Trail, NC 28079-5584
Phone
(704) 770-1862
NPI assigned
Aug 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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 5009876 NC Primary

Addresses

Primary practice location

1001 Van Buren Ave Ste a
Indian Trail, NC 28079-5584

Mailing address

2633 Beulah Church Rd
Weddington, NC 28104-9211
Phone (704) 770-1862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, AZ, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20171207003154 NC Practitioner - Nurse Practitioner 5698032126 Reassigns benefits to 1 organization
I20231108003009 AZ Practitioner - Nurse Practitioner 5698032126 Reassigns benefits to 1 organization
I20241017000072 NY Practitioner - Nurse Practitioner 5698032126 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
348266NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Oct 26, 2023 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jul 27, 2024 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 5, 2022 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jul 27, 2024 Accepting new patients

Locations

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

3750 72nd St
Jackson Heights, NY 11372
Phone (646) 615-7800

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

227 Madison St
New York, NY 10002
Phone (212) 238-7000

50 Water St
Fl 3
New York, NY 10004

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20357/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1750807012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 BEULAH CHURCH RD",
            "city": "WEDDINGTON",
            "state": "NC",
            "postal_code": "281049211",
            "telephone_number": "704-770-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 VAN BUREN AVE STE A",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795584",
            "telephone_number": "704-770-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULK ADAMS",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Trail, NC

Sources for this page

Verify at the official NPI Registry.