Stephen Randall Adcock, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

21934 Issued in GA

Practice address

2002 Alice St
Waycross, GA 31501-6210

Phone

(912) 283-8444

NPI assigned

Jun 25, 2007

Last updated

May 24, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: stephen.adcock@mhs.gadirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Colquitt Regional Orthopedics, LLC

  • Specialist
  • Moultrie, GA
  • NPI 1649475930
  NPD (past)
• S R Adcock MD PC

  • Orthopaedic Surgery Physician
  • Moultrie, GA
  • NPI 1689667545
  NPD (past)
• Waycross Orthopaedics, P.C.

  • Specialist
  • Waycross, GA
  • NPI 1679520753
  NPD (past)

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1831395052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315020173",
            "telephone_number": "912-283-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 ALICE ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016210",
            "telephone_number": "912-283-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADCOCK",
        "first_name": "STEPHEN",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "21934",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "282871",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000264063E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Access Dermpath, Inc.
• Peggy Achenbach, O.D.
• David William Acker, PHD
• Jamie Lynn Adams, PHARM.D,
• Affinis Hospice, LLC (Affinis Hospice)
• Stanley A Agbulos, PA-C, AA-C
• Air Evac EMS, Inc.
• Oladotun Akintomide, AA
• John W Akridge Jr., M.D.

• Orthopaedic Surgery Physician in Waycross, GA
• Providers in Waycross, GA by specialty
• Orthopaedic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.