Individual provider Active NPI

William Logan Adams

  • Surgery Physician
  • Greeneville, TN
National Provider Identifier
1962859165
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
70928 Issued in TN
Practice address
1410 Tusculum Blvd Ste 1700
Greeneville, TN 37745-5818
Phone
(423) 787-7100
NPI assigned
May 17, 2016
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD.42775 AL
Surgery Physician 208600000X 70928 TN Primary

Addresses

Primary practice location

1410 Tusculum Blvd Ste 1700
Greeneville, TN 37745-5818

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565

Other practice location 1

1751 Veterans Dr Ste 125
Florence, AL 35630-4932
Phone (256) 766-0150

Other practice location 2

405 Scenic Dr Ste B
Rogersville, TN 37857-2441
Phone (423) 272-2111

Other identifiers 1

IdentifierTypeStateIssuer
275161MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 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
I20210907001827 AL Practitioner - General Surgery 5092111666 Reassigns benefits to 1 organization
I20240712001147 TN Practitioner - General Surgery 5092111666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians

Practice addresses (Care Compare)

405 Scenic Dr
Suite B
Rogersville, TN 37857-2441
Phone (423) 272-2111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.42775ALMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Medical Associates, Inc. CurrentSince Jun 30, 2024 Accepting new patients
Ecm Health Group LLC CurrentSince Sep 1, 2021 Accepting new patients
Tennessee Valley Surgery Group Surgery CurrentSince Sep 1, 2021 Accepting new patients
Wellmont Health System Current Accepting new patients
Wellmont Medical Associates Inc Surgery CurrentSince Jun 30, 2024 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Blue Ridge Medical Management Corporation Past Accepting new patients

Locations

1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900

1751 Veterans Dr
Ste 125
Florence, AL 35630
Phone (256) 766-0150

541 W College St
Ste 3200
Florence, AL 35630
Phone (256) 760-0098

541 W College St
Ste 3300
Florence, AL 35630
Phone (256) 766-6026

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

1410 Tusculum Blvd
Ste 1700
Greeneville, TN 37745
Phone (423) 783-5512

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

405 Scenic Dr
Ste B
Rogersville, TN 37857
Phone (423) 272-2111

Interoperability endpoints

  • Direct secure messaging: wadams440462@balladhealth.medalliesdirect.net

Organizations & group practices 7

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 1

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": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1962859165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-302-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 TUSCULUM BLVD STE 1700",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377455818",
            "telephone_number": "423-787-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1751 Veterans Dr Ste 125",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AL",
            "postal_code": "356304932",
            "country_code": "US",
            "telephone_number": "256-766-0150",
            "fax_number": "256-764-4638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Scenic Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "TN",
            "postal_code": "378572441",
            "country_code": "US",
            "telephone_number": "423-272-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "WILLIAM",
        "middle_name": "LOGAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "MD.42775",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "70928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275161",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.