TRESSELYN DOUGLAS ADAMS PMHNP-BC NPI 1104051168

NPI Information

NPI: 1104051168
Provider Name: TRESSELYN DOUGLAS ADAMS, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1345 REDMOND CIR NW
ROME, GA
ZIP 30165
Phone: (910) 742-9243
Get Directions

Tresselyn Douglas Adams, PMHNP-BC is a psychiatric/mental health nurse practitioner in Rome, GA. Tresselyn Douglas Adams, PMHNP-BC NPI is 1104051168. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1345 REDMOND CIR NW
ROME, GA
ZIP 30165-307
Phone: (910) 742-9243
Fax: (888) 746-1787

The NPI 1104051168 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/20/2009 and was last updated on 6/14/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	RN112304	GEORGIA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RN112304	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F1108140	OTHER		FAMILY NURSE PRATITIONER CERTIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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