Individual provider Active NPI

Carlos Darnell Adams, RN, DNP, MBA, CRNP

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1972678217
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71001665A Issued in IN
Practice address
631 Beacon Pkwy W Ste 108
Birmingham, AL 35209-3130
Phone
(205) 517-7100
Fax
(205) 517-7101
NPI assigned
Nov 21, 2006
Last updated
Sep 25, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71001665A IN Primary

Addresses

Primary practice location

631 Beacon Pkwy W Ste 108
Birmingham, AL 35209-3130

Mailing address

1000 Birchall LN Apt 109
Hoover, AL 35226-6438
Phone (334) 435-6618

Other identifiers 4

IdentifierTypeStateIssuer
30178910OtherALANCC FAMILY NURSE PRACTITIONER CERTIFICATION
1-079930OtherALRN LICENSE
28158903AOtherINRN LICENSE
71001665AOtherINNURSE PRACTITIONER LICENS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211021001143 AL Practitioner - Nurse Practitioner 5890770507 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
71001665AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clarence H Thomas MD LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1972678217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BIRCHALL LN APT 109",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352266438",
            "telephone_number": "334-435-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 BEACON PKWY W STE 108",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093130",
            "telephone_number": "205-517-7100",
            "fax_number": "205-517-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "CARLOS",
        "middle_name": "DARNELL",
        "name_prefix": "Dr.",
        "credential": "RN, DNP, MBA, CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001665A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC FAMILY NURSE PRACTITIONER CERTIFICATION",
            "identifier": "30178910",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "1-079930",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "28158903A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENS",
            "identifier": "71001665A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.