Individual provider Active NPI

Kelli Allison Adams, FNP

  • Family Medicine Physician
  • Columbus, NC
National Provider Identifier
1992566939
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28224 Issued in SC
Practice address
11 Sunshine LN
Columbus, NC 28722-0237
Phone
(828) 859-7659
NPI assigned
Jan 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28224 SC Primary

Addresses

Primary practice location

11 Sunshine LN
Columbus, NC 28722-0237

Mailing address

451 Gibson Rd
Landrum, SC 29356-9473
Phone (843) 343-6822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
28224SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advent Internal Medicine CurrentSince Jan 21, 2024 Accepting new patients

Locations

11 Sunshine Ln
Columbus, NC 28722
Phone (828) 859-7659

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23197/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kelli.adams.1@23197.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1992566939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 GIBSON RD",
            "city": "LANDRUM",
            "state": "SC",
            "postal_code": "293569473",
            "telephone_number": "843-343-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SUNSHINE LN",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287220237",
            "telephone_number": "828-859-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "KELLI",
        "middle_name": "ALLISON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "28224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.