Joseph A Adams, MD
Individual provider Active NPI Pediatrics Physician · Johnson City, TN
NPI 1962525535 · NPPES record last updated Feb 13, 2025
Key facts
- NPI
- 1962525535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD42020 (TN)
- Practice address
- 301 Med Tech Pkwy Ste 160
Johnson City, TN 37604-2651 - Phone
- (423) 794-5560
- Fax
- (423) 794-1827
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- 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 |
|---|---|---|---|---|
| I20070807000383 | TN | Practitioner - Pediatric Medicine | 1951492834 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD437975 | PA | MD | Pediatrics Physician |
| MD42020 | TN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Franklin Healthcare Associates PLLC | Pediatrics | Current |
Accepting new patients |
| Mountain States Health Alliance | Past | Accepting new patients | |
| State of Franklin Healthcare Associates PLLC | Past |
Accepting new patients |
Locations
5000 Monarch Pt
Greeneville, TN 37745
Phone (423) 636-2770
5 Worth Cir
Ste 4
Johnson City, TN 37601
Phone (423) 282-4819
301 Med Tech Pkwy
Ste 160
Johnson City, TN 37604
Phone (423) 794-5560
301 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 302-6239
313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819
Interoperability endpoints
- josephadams@sofha.allscriptsdirect.net
- https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD437975 | PA | |
| Pediatrics Physician | 208000000X | MD42020 | TN | Yes |
Addresses
Primary practice location
301 Med Tech Pkwy Ste 160
Johnson City, TN 37604-2651
Mailing address
PO Box 632476
Cincinnati, OH 45263-2476
Phone (234) 794-5560
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11993362 | Other | PA | CAQH |
| Q017742 | Medicaid | TN |
Other providers in Johnson City, TN
- Abundant Christian Living Community LLC
- Huthaifah Aburumman
- Crystal Adams
- Don E Adams III
- Ezra Allen Adams
- Matthew Douglas Adams
- Misty Dawn Adams
- Santana Nikcole Adams
- Shane M Adams
- Brittnea Jean Adcock
All providers in Johnson City, TN · Pediatrics Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2025. 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.