Brandon Wayne Adams, PA-C
Individual provider Active NPI Physician Assistant · Wilson, NC
NPI 1821455031 · NPPES record last updated Jan 19, 2016
Key facts
- NPI
- 1821455031
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0010-06178 (NC)
- Practice address
- 1803 Forest Hills Rd W
Wilson, NC 27893-3412 - Phone
- (252) 243-9629
- Fax
- (252) 243-0915
- NPI assigned
- Jan 19, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Emergeortho PA
Comprehensive Rehab of Wilson, Inc.
Practice addresses (Care Compare)
1803 Forest Hills Rd W
Wilson, NC 27893-3412
Phone (252) 243-9629
1811 Forest Hills Rd W
Wilson, NC 27893-3412
Phone (252) 243-7400
799 Doctors CT
Roxboro, NC 27573-4571
Phone (336) 599-4079
Hospital & facility affiliations
- Wilson Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.07 of 100
- Quality
- 85.94
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.63
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 |
|---|---|---|---|---|
| I20160204001329 | NC | Practitioner - Physician Assistant | 6002110483 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-06178 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergeortho PA | Physician Assistant | Current |
Accepting new patients |
| Emergeortho PA | Current |
Accepting new patients |
Locations
120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836
799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079
1803 Forest Hills Rd W
Wilson, NC 27893
Phone (252) 237-9200
Interoperability endpoints
- brandon.adams.1@847.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-06178 | NC | Yes |
Addresses
Primary practice location
1803 Forest Hills Rd W
Wilson, NC 27893-3412
Mailing address
120 William Penn PLZ
Durham, NC 27704-2150
Phone (919) 220-5255
Other providers in Wilson, NC
- Action Health Staffing
- Action Health Staffing
- Action Health Staffing
- Action Health Staffing
- Action Health Staffing
- Cecil Benjamin Adams III
- Emily Walters Adams
- Julia Adams
- Meri Frances Adams
- Valerie Hill Adams
All providers in Wilson, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 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.