Timothy Adams Jr., M.D.
Individual provider Active NPI Anesthesiology Physician · Columbia, SC
NPI 1891749107 · NPPES record last updated Nov 3, 2021
Key facts
- NPI
- 1891749107
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 85467 (SC)
- Practice address
- 2435 Forest Dr
Columbia, SC 29204-2026 - Phone
- (843) 792-1414
- NPI assigned
- May 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131125000785 | TN | Practitioner - Anesthesiology | 0446273114 | Reassigns benefits to 1 organization |
| I20211122002937 | SC | Practitioner - Anesthesiology | 0446273114 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00026609 | AL | MD | Anesthesiology Physician |
| 26609 | AL | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Community Physicians | Current | Accepting new patients | |
| Musc Community Physicians | Current |
Accepting new patients | |
| Musc Community Physicians | Current |
Accepting new patients | |
| Physynergy Medical Services LLC | Current |
Accepting new patients | |
| Physynergy, LLC | Anesthesiology | Current |
Accepting new patients |
| Physynergy, LLC | Anesthesiology | Past | Accepting new patients |
| Epix Anesthesia of Georgia PC | Anesthesiology | Past |
Accepting new patients |
| Alabama Anesthesia of Huntsville LLC | Anesthesiology | Past | Accepting new patients |
Locations
1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859
2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 00026609 | AL | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 26609 | AL | |
| Anesthesiology Physician | 207L00000X | 85467 | SC | Yes |
Addresses
Primary practice location
2435 Forest Dr
Columbia, SC 29204-2026
Mailing address
PO Box 935722
Atlanta, GA 31193-5722
Phone (843) 792-6200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145581 | Medicaid | AL | |
| 511-32914 | Other | AL | BLUE CROSS |
| 145598 | Medicaid | AL | |
| 511-32918 | Other | AL | BLUE CROSS |
Other providers in Columbia, SC
- Roslyn Adams
- Samantha Adams
- Shannon Adams
- Stacy Adams
- Thomas L Adams Jr.
- Zonna Adams
- Lakeshia Adamson
- Lorraine A Adcox
- Dana Lorraine Addison
- Twanda Denise Addison
All providers in Columbia, SC · Anesthesiology Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.