Jessica Leigh Adams
Individual provider Active NPI Family Nurse Practitioner · Haleyville, AL
NPI 1992266191 · NPPES record last updated Jun 27, 2022
Key facts
- NPI
- 1992266191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1-134174 (AL)
- Practice address
- 42320 Highway 195
Haleyville, AL 35565-7064 - Phone
- (205) 486-8899
- Fax
- (205) 486-8908
- NPI assigned
- Mar 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210924001358 | AL | Practitioner - Nurse Practitioner | 4385041904 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-134174 | AL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haleyville Medical Associates Inc | Current |
Accepting new patients |
Locations
26279 Highway 195
Double Springs, AL 35553
Phone (205) 489-3322
42320 Highway 195
Haleyville, AL 35565
Phone (205) 269-1199
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1-134174 | AL | |
| Family Nurse Practitioner | 363LF0000X | 1-134174 | AL | Yes |
Addresses
Primary practice location
42320 Highway 195
Haleyville, AL 35565-7064
Mailing address
42320 Highway 195
Haleyville, AL 35565-7064
Phone (205) 486-8899
Other practice location 1
26279 Highway 195
Double Springs, AL 35553-2554
Phone (205) 489-3322
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-134174 | Other | AL | ALABAMA BOARD OF NURSING |
Other names
- Jessica Leigh Adams
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | vijayar@haleyvillemedicalassociates.com |
Other providers in Haleyville, AL
All providers in Haleyville, AL · Family Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2022. 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.