Active NPI
Gwendolyn Eleanor Adams, PA-C
- Medical Physician Assistant
- Madison, AL
National Provider Identifier
1972856995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA.847
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063439065 | Other | AL | MAIN GROUP NPI PAYEE NUMBER |
| 011846 | Other | AL | MAIN GROUP MEDICARE NUMBER |
| 630000013 | Medicaid | AL |
Other names 1
- Miss Gwendolyn Eleanor Day
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA 847 | AL | MD | Physician Assistant |
| PA.847 | AL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gill Family Medicine, P.C. | Current | Accepting new patients | |
| Blossomwood Medical PC | Past | 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.
-
- Family Medicine Physician
- Decatur, AL
- NPI 1144574872
-
dba Blossomwood Medical
- Internal Medicine Physician
- Huntsville, AL
- NPI 1144451311
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"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.