Individual provider Active NPI

Gwendolyn Eleanor Adams, PA-C

  • Medical Physician Assistant
  • Madison, AL
National Provider Identifier
1972856995
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.847 Issued in AL
Practice address
101 Ivory PL
Madison, AL 35758-2349
Phone
(256) 325-0236
Fax
(256) 993-3133
NPI assigned
Oct 16, 2012
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 847 AL
Medical Physician Assistant 363AM0700X PA.847 AL Primary

Addresses

Primary practice location

101 Ivory PL
Madison, AL 35758-2349

Mailing address

101 Ivory PL
Madison, AL 35758-2349
Phone (256) 325-0236

Other identifiers 3

IdentifierTypeStateIssuer
1063439065OtherALMAIN GROUP NPI PAYEE NUMBER
011846OtherALMAIN GROUP MEDICARE NUMBER
630000013MedicaidAL

Other names 1

  • Miss Gwendolyn Eleanor Day Other name

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
I20140324000404 AL Practitioner - Physician Assistant 8426289166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empower2, LLCGroup PAC ID 6103185145, 13 clinicians

Practice addresses (Care Compare)

101 Ivory PL
Madison, AL 35758-2349
Phone (256) 325-0236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA 847ALMDPhysician Assistant
PA.847ALMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gill Family Medicine, P.C. Current Accepting new patients
Blossomwood Medical PC PastSince Aug 10, 2025 Accepting new patients

Locations

2422 Danville Rd SW
Ste E
Decatur, AL 35603
Phone (256) 355-9040

Organizations & group practices 3

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": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1972856995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 IVORY PL",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582349",
            "telephone_number": "256-325-0236",
            "fax_number": "256-993-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 IVORY PL",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582349",
            "telephone_number": "256-325-0236",
            "fax_number": "256-993-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "GWENDOLYN",
        "middle_name": "ELEANOR",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA 847",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "PA.847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAIN GROUP NPI PAYEE NUMBER",
            "identifier": "1063439065",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAIN GROUP MEDICARE NUMBER",
            "identifier": "011846",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630000013",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GWENDOLYN",
            "last_name": "DAY",
            "middle_name": "ELEANOR",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.