Christine Adams
Individual provider
Active NPI
Registered Nurse · Acworth, GA
NPI 1992412142 · NPPES record last updated Dec 16, 2022
Key facts
- NPI
- 1992412142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN204573 (GA)
- Practice address
- 6060 Lake Acworth Dr NW
Acworth, GA 30101-7358
- Phone
- (770) 575-0679
- NPI assigned
- Oct 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|
| RN204573 | GA | MD | Registered Nurse |
Practice roles
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Registered Nurse |
163W00000X |
RN204573 |
GA |
Yes |
Addresses
Primary practice location
6060 Lake Acworth Dr NW
Acworth, GA 30101-7358
Mailing address
137 Dream CT
Acworth, GA 30102-1211
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 204573 | Other | GA | OUTPATIENT DETOX |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|
| Other URL |
sunwaveemr |
Other |
|