Individual provider Active NPI

Jim G. Adams, D.O.

  • Neonatal-Perinatal Medicine Physician
  • Lafayette, LA
National Provider Identifier
1902868581
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
012464 Issued in LA
Practice address
107 Montrose Avenue
Suite D
Lafayette, LA 70503
Phone
(337) 981-9316
Fax
(337) 981-8303
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 012464 LA Primary

Addresses

Primary practice location

107 Montrose Avenue
Suite D
Lafayette, LA 70503

Mailing address

301 Beverly Drive
Lafayette, LA 70503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VI2 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
I20171214002218 TX Practitioner - Pediatric Medicine 5395021380 Reassigns benefits to 3 organizations
I20211222002376 VI Practitioner - Pediatric Medicine 5395021380 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012464LAMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Texas Billing, Inc. Neonatal-Perinatal Medicine CurrentSince Sep 12, 2017 Accepting new patients
Children'S Physician Services of South Texas CurrentSince Dec 1, 2024 Accepting new patients
Children'S Physician Services of South Texas CurrentSince Dec 1, 2024 Accepting new patients
Magella Medical Associates Billing, Inc. Neonatal-Perinatal Medicine CurrentSince Sep 22, 2017 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Dec 19, 2021 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Dec 19, 2021 Accepting new patients

Locations

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

3533 S Alameda St
Ste 203
Corpus Christi, TX 78411

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Interoperability endpoints

  • Direct secure messaging: jadams87870@tuftsmedicine.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902868581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BEVERLY DRIVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70503",
            "fax_number": "337-981-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MONTROSE AVENUE",
            "address_2": "SUITE D",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70503",
            "telephone_number": "337-981-9316",
            "fax_number": "337-981-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JIM",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "LA",
            "license": "012464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.