Provider Demographics
NPI:1013943869
Name:ADKINS, JAMES ROBERT (CRNA)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ROBERT
Last Name:ADKINS
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1591 COUNTY HIGHWAY 61
Mailing Address - Street 2:
Mailing Address - City:GUIN
Mailing Address - State:AL
Mailing Address - Zip Code:35563-3823
Mailing Address - Country:US
Mailing Address - Phone:205-487-4119
Mailing Address - Fax:205-487-7875
Practice Address - Street 1:NORTHWEST MEDICAL CENTER
Practice Address - Street 2:1530 U S HIGHWAY 43
Practice Address - City:WINFIELD
Practice Address - State:AL
Practice Address - Zip Code:35594
Practice Address - Country:US
Practice Address - Phone:205-487-7000
Practice Address - Fax:205-487-7645
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1027782367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALP00123343OtherMEDICARE RAILROAD PIN
AL515-22747OtherBCBS PIN-LAMAR SURGERY
AL515-22486OtherBCBS OF AL PROVIDER NUMBE
ALP00123343OtherMEDICARE RAILROAD PIN