Thomas L Adams Jr., D.O.
Individual provider Active NPI Family Medicine Physician · Columbia, SC
NPI 1790767168 · NPPES record last updated Feb 20, 2025
Key facts
- NPI
- 1790767168
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 02002285A (IN)
- Practice address
- 4500 8TH Division Rd
Columbia, SC 29207-5700 - Phone
- (803) 751-0580
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130909000555 | SC | Order and Referring Only - Family Practice |
8527202712 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02002285A | IN | Yes |
Addresses
Primary practice location
4500 8TH Division Rd
Columbia, SC 29207-5700
Mailing address
4500 8TH Division Rd
Columbia, SC 29207-5700
Phone (803) 751-0580
Other providers in Columbia, SC
- Robert Andrew Adams
- Roslyn Adams
- Samantha Adams
- Shannon Adams
- Stacy Adams
- Timothy Adams Jr.
- Zonna Adams
- Lakeshia Adamson
- Lorraine A Adcox
- Dana Lorraine Addison
All providers in Columbia, SC · Family Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.