Provider Demographics
NPI:1609883263
Name:JAMI ADAMS, M.D., P.A.
Entity Type:Organization
Organization Name:JAMI ADAMS, M.D., P.A.
Other - Org Name:ADAMS PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMI
Authorized Official - Middle Name:ALICIA
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:325-695-1600
Mailing Address - Street 1:6300 REGIONAL PLZ STE 250
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-5224
Mailing Address - Country:US
Mailing Address - Phone:325-695-1600
Mailing Address - Fax:325-695-1601
Practice Address - Street 1:6300 REGIONAL PLZ STE 250
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5224
Practice Address - Country:US
Practice Address - Phone:325-695-1600
Practice Address - Fax:325-695-1601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9954208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0080LPOtherBCBS PROVIDER #
TX166548101Medicaid