Organization Active NPI

Lowell a Adkins M.D.,P.a.

  • Primary Care Clinic/Center
  • Pompano Beach, FL
National Provider Identifier
1891042867
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME38661 Issued in FL
Legal business name
LOWELL A ADKINS M.D.,P.A.
Practice address
3135 W Atlantic Blvd
Suite 14 & 15
Pompano Beach, FL 33069-2565
Phone
(954) 970-3484
Fax
(954) 970-3487
NPI assigned
Aug 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Authorized official

Name
Mrs. Merrill Adkins
Title
Office Manager
Phone
(954) 970-3484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME38661 FL Primary

Addresses

Primary practice location

3135 W Atlantic Blvd
Suite 14 & 15
Pompano Beach, FL 33069-2565

Mailing address

3135 W Atlantic Blvd
Suite 14 & 15
Pompano Beach, FL 33069-2565
Phone (954) 970-3484

Other identifiers 1

IdentifierTypeStateIssuer
029316400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121010000138 FL Part B Supplier - Clinic/Group Practice 0648427120 Receives reassigned benefits from 1 practitioner
Practice locations: Ft. Lauderdale, FL; Pompano Beach, FL

National Provider Directory

National Provider Directory

Locations

1625 SE 3rd Ave
Ste 709
Ft Lauderdale, FL 33316
Phone (954) 355-4372

3135 W Atlantic Blvd
Ste 1415
Pompano Beach, FL 33069

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1891042867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3135 W ATLANTIC BLVD",
            "address_2": "SUITE 14 & 15",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330692565",
            "telephone_number": "954-970-3484",
            "fax_number": "954-970-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135 W ATLANTIC BLVD",
            "address_2": "SUITE 14 & 15",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330692565",
            "telephone_number": "954-970-3484",
            "fax_number": "954-970-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWELL A ADKINS M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "MERRILL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-970-3484",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME38661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029316400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.