Provider Demographics
NPI:1649275322
Name:ADAMS, JAMES W II (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:W
Last Name:ADAMS
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6005 PARK AVE STE 1004B
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-5225
Mailing Address - Country:US
Mailing Address - Phone:901-405-1726
Mailing Address - Fax:901-249-7335
Practice Address - Street 1:6005 PARK AVE STE 1004B
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-5225
Practice Address - Country:US
Practice Address - Phone:901-405-1726
Practice Address - Fax:901-249-7335
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-17
Last Update Date:2020-01-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN16135207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3016740Medicaid
TNE82426Medicare UPIN
TN3016740Medicare ID - Type Unspecified