Individual provider Active NPI

Kristopher Nathan Adams, CRNP

  • Family Nurse Practitioner
  • Greenville, AL
National Provider Identifier
1881036473
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-109034 Issued in AL
Practice address
300 N College St
Greenville, AL 36037
Phone
(334) 382-2681
NPI assigned
Jul 23, 2013
Last updated
Oct 19, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-109034 AL Primary

Addresses

Primary practice location

300 N College St
Greenville, AL 36037

Mailing address

300 North College Street
Greenville, AL 36037
Phone (334) 382-2681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130904000467 AL Practitioner - Nurse Practitioner 4789827155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jackson Hospital and Clinic, IncGroup PAC ID 0547254153, 119 clinicians

Practice addresses (Care Compare)

321 Greenville Byp
Suite 2
Greenville, AL 36037-3757
Phone (334) 293-8736

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.54 of 100Reported as individual
Quality
67.24
Promoting interoperability
100
Improvement activities
40
Cost
81.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Hospital and Clinic, Inc. Current Accepting new patients
Jackson Hospital & Clinic, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Jackson Hospital and Clinic, Inc CurrentSince Mar 1, 2020 Accepting new patients
Jackson Hospital & Clinic, Inc. Past Accepting new patients

Locations

321 Greenville Byp
Ste 2
Greenville, AL 36037

44 Medical Arts Ct
Ste 3
Greenville, AL 36037
Phone (334) 382-0885

1722 Pine St
Ste 203
Montgomery, AL 36106
Phone (334) 271-1263

1722 Pine St
Ste 503
Montgomery, AL 36106
Phone (334) 240-2337

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

Interoperability endpoints

  • Direct secure messaging: kristopher.adams.1@9186.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1881036473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NORTH COLLEGE STREET",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "36037",
            "telephone_number": "334-382-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N COLLEGE ST",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "36037",
            "telephone_number": "334-382-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "KRISTOPHER",
        "middle_name": "NATHAN",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-23",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-109034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, AL

Sources for this page

Verify at the official NPI Registry.