Adam K Blanks, FNP
Individual provider Active NPI Nurse Practitioner · Jackson, MS
NPI 1801051925 · NPPES record last updated Feb 8, 2016
Key facts
- NPI
- 1801051925
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 860496 (MS)
- Practice address
- 1225 N State St
Jackson, MS 39202-2064 - Phone
- (601) 968-1000
- NPI assigned
- Jul 29, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mississippi Hma Hospitalists LLC
Practice addresses (Care Compare)
1030 River Oaks Dr
Flowood, MS 39232-9553
Phone (601) 936-2390
1850 Chadwick Dr
Jackson, MS 39204-3404
Phone (601) 376-8206
2100 Hwy 61 N
Vicksburg, MS 39183-8211
Phone (601) 883-5000
350 Crossgates Blvd
Brandon, MS 39042-2601
Phone (601) 824-8501
Hospital & facility affiliations
- Merit Health River Oaks
- Merit Health River Region
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.07 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160215000368 | MS | Practitioner - Nurse Practitioner | 5991009888 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On-Site Health LLC | Current |
Accepting new patients | |
| Mississippi Hma Hospitalists, LLC | Current |
Accepting new patients | |
| Mississippi Baptist Medical Center, Inc. | Current |
Accepting new patients | |
| Mississippi Baptist Medical Center, Inc. | Current | Accepting new patients | |
| Mississippi Baptist Medical Center, Inc | Current |
Accepting new patients |
Locations
350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500
660 Lakeland East Dr
Ste 106
Flowood, MS 39232
Phone (769) 333-8808
1190 N State St
Ste 204
Jackson, MS 39202
Phone (601) 353-8066
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 860496 | MS | Yes |
Addresses
Primary practice location
1225 N State St
Jackson, MS 39202-2064
Mailing address
PO Box 23090
Jackson, MS 39225-3090
Phone (866) 916-5259
Other providers in Jackson, MS
- Harold Jason Blalock
- Alisha Jean Patricia Bland
- Bridgette Ann Bland
- Paula Leigh Bland
- Meghan Blankenship
- Kailin Danielle Blanton
- Betty Ann Blasi
- Blessings Beyond
- Blessings Beyond
- Wendy Nicole Blethen
All providers in Jackson, MS · Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2016. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.