Adrian Scott Thacker, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024173601 Issued in VA

Practice address

198 Ross Carter Blvd
Duffield, VA 24244-5117

Phone

(276) 690-7161

Fax

(276) 690-7246

NPI assigned

Jun 7, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, TN2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Revida Recovery Centers PC 28 clinicians

Starting Point of Virginia PC 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Revida Recovery Centers, PC

  • Addiction Medicine (Family Medicine) Physician
  • Abingdon, VA
  • NPI 1013483486

  TN, VA

  Medicare reassignment Care Compare group NPD
• Starting Point of Virginia, P.C.

  • Multi-Specialty Clinic/Center
  • Abingdon, VA
  • NPI 1760949127

  VA

  Medicare reassignment Care Compare group NPD
• Starting Point of Virginia, P.C.

  • Clinical Medical Laboratory
  • Abingdon, VA
  • NPI 1720656259
  Care Compare group NPD

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1831548247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2582",
            "city": "WISE",
            "state": "VA",
            "postal_code": "242932582",
            "telephone_number": "276-796-4411",
            "fax_number": "276-796-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 ROSS CARTER BLVD",
            "city": "DUFFIELD",
            "state": "VA",
            "postal_code": "242445117",
            "telephone_number": "276-690-7161",
            "fax_number": "276-690-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACKER",
        "first_name": "ADRIAN",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173601",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024173601",
            "primary": true
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0024173601",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Virginia Home Medical, LLC
• Cathy Ann Spivey Dishner
• Stephanie Jo Stanley
• Stephen Michael Johnson
• Cynthia Renee Taylor, FNP
• Tri-City Rehabilitation
• Trillium Medical Group of Virginia, Inc.
• Justin Venable
• Videll Healthcare Duffield LLC
• Village Economy Drug Inc

• All providers in Duffield, VA
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.