Adam Trent Archie, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Augusta, GA
NPI 1801357355 · NPPES record last updated Jul 29, 2024
Key facts
- NPI
- 1801357355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 98495 (GA)
- Practice address
- 1120 15TH St
Augusta, GA 30912-4917 - Phone
- (706) 721-3813
- NPI assigned
- Mar 27, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- University of Alabama School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Montrose Memorial Hospital, Inc
Practice addresses (Care Compare)
3330 S Rio Grande Ave
210 MRH Spine and Pain Ctr
Montrose, CO 81401-4847
Phone (970) 252-2584
Hospital & facility affiliations
- Montrose Regional Health
- Gunnison Valley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 18 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA, CO
- 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 |
|---|---|---|---|---|
| I20240710003578 | GA | Practitioner - Orthopedic Surgery | 4688119043 | Reassigns benefits to 1 organization |
| I20250821002176 | CO | Practitioner - Orthopedic Surgery | 4688119043 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98495 | GA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montrose Memorial Hospital, Inc | Orthopaedic Surgery | Current |
Accepting new patients |
| Montrose Memorial Hospital, Inc | Current |
Accepting new patients | |
| Montrose Memorial Hospital, Inc | Current | Accepting new patients | |
| Au Medical Associates Inc | Orthopaedic Surgery | Current |
Accepting new patients |
| Au Medical Associates Inc | Current |
Accepting new patients |
Locations
800 S 3rd St
Montrose, CO 81401
Phone (970) 240-2211
3330 S Rio Grande Ave
Ste 210
Montrose, CO 81401
Phone (970) 249-6641
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
1120 15th St
#6000
Augusta, GA 30912
Phone (706) 721-3813
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Orthopaedic Surgery Physician | 207X00000X | 98495 | GA | Yes |
Addresses
Primary practice location
1120 15TH St
Augusta, GA 30912-4917
Mailing address
1120 15TH St # Or6000
Augusta, GA 30912-0004
Phone (706) 721-3813
Other practice location 1
1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 702-3000
Other providers in Augusta, GA
- Julio Mario Araque
- Belachew Arasho
- Sean Eugene Arbuckle Sr.
- Kimberly Collins Archer
- Shirlence Lekia Archer
- Michael Ardrey
- John G Arena
- Ares RX LLC
- Ares RX LLC
- Ares RX LLC
All providers in Augusta, GA · Orthopaedic Surgery Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2024. 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.