Individual provider Active NPI

Timothy Adamcryk, M.D.

  • Emergency Medicine Physician
  • Blountstown, FL
National Provider Identifier
1841393840
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME81036 Issued in FL
Practice address
20370 NE Burns Ave
Blountstown, FL 32424-1045
Phone
(850) 674-5411
Fax
(850) 237-3010
NPI assigned
Sep 6, 2006
Last updated
Jan 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME81036 FL Primary

Addresses

Primary practice location

20370 NE Burns Ave
Blountstown, FL 32424-1045

Mailing address

1204 Cornell Dr
Panama City, FL 32405-3509
Phone (850) 814-1815

Other practice location 1

3711 US-231
Panama City, FL 32404
Phone (850) 772-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050412000469 FL Practitioner - Family PracticePractitioner - Emergency Medicine 0446297469 Reassigns benefits to 7 organizations
I20081028000423 AL Practitioner - Emergency Medicine 0446297469 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Medical College of Georgia School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America LLCGroup PAC ID 6608056171, 995 clinicians

Practice addresses (Care Compare)

16257 State Rd 71
Blountstown, FL 32424-2808
Phone (850) 674-5411

20370 NE Burns Ave
Blountstown, FL 32424-1045

3801 E Hwy 98
Vituity
Port St Joe, FL 32456-5318
Phone (850) 229-5600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Calhoun-Liberty Hospital Association Inc CurrentSince Jan 14, 2023 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Southland EMS at Weems PL Emergency Medicine CurrentSince Nov 1, 2011 Accepting new patients
Southland Medical Solutions of Ozark, PL CurrentSince Apr 15, 2010 Accepting new patients
Southland Medical Solutions of Eufaula, PL Emergency Medicine CurrentSince Sep 27, 2008 Accepting new patients
Cep America, LLC Emergency Medicine Current Accepting new patients
Bittern Emergency Physicians, LLC Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince May 1, 2025 Accepting new patients
Bittern Emergency Physicians, LLC Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
Calhoun-Liberty Hospital Association Inc CurrentSince Jan 14, 2023 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince May 1, 2025 Accepting new patients
Southland EMS at Madison, PLLC Emergency Medicine CurrentSince Sep 9, 2009 Accepting new patients
Southland Hospitalist at Weems PL Emergency Medicine CurrentSince Nov 1, 2011 Accepting new patients
Nature Coast Emergency Physicians, PA Emergency Medicine Past Accepting new patients
Hospital Authority of Calhoun County Past Accepting new patients
Dassee Community Health Systems Past Accepting new patients
Calhoun Memorial Hospital Past Accepting new patients

Locations

820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761

126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

135 Avenue G
Apalachicola, FL 32320
Phone (850) 653-8853

16257 State Road 71 S
Blountstown, FL 32424
Phone (850) 674-5411

20370 NE Burns Ave
Blountstown, FL 32424
Phone (850) 237-3000

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

224 NW Crane Ave
Madison, FL 32340
Phone (850) 253-1923

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

3801 E Highway 98
Port St Joe, FL 32456
Phone (850) 229-5600

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/liberty-4ff80e3e

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1841393840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 CORNELL DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053509",
            "telephone_number": "850-814-1815",
            "fax_number": "850-230-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20370 NE BURNS AVE",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324241045",
            "telephone_number": "850-674-5411",
            "fax_number": "850-237-3010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3711 US-231",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "32404",
            "country_code": "US",
            "telephone_number": "850-772-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMCRYK",
        "first_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME81036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blountstown, FL

Sources for this page

Verify at the official NPI Registry.