Mr Michael Stephan Adams Sr, MD - Medicare Pediatrics in Jonesboro, GA

Mr Michael Stephan Adams Sr, MD is a medicare enrolled "Pediatrics" physician in Jonesboro, Georgia. His current practice location is 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 603-3668.

Mr Michael Stephan Adams Sr is licensed to practice in Georgia (license number 034102) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629062195.

Contact Information

Mr Michael Stephan Adams Sr, MD
2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center,
Jonesboro, GA 30236-2500
(770) 603-3668
(404) 564-6734



Physician's Profile

Full NameMr Michael Stephan Adams Sr
GenderMale
SpecialityPediatrics
Location2400 Mount Zion Pkwy, Jonesboro, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629062195
  • Provider Enumeration Date: 09/09/2005
  • Last Update Date: 01/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8921242231
  • Enrollment ID: I20130926000080

Medical Identifiers

Medical identifiers for Mr Michael Stephan Adams Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629062195NPI-NPPES
000503566AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 034102 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Michael Stephan Adams Sr allows following entities to bill medicare on his behalf.
Entity NameThe Southeast Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Michael Stephan Adams Sr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Michael Stephan Adams Sr, MD
3495 Piedmont Rd Ne, Nine Piedmont Center,
Atlanta, GA 30305-1717

Ph: (404) 364-7070
Mr Michael Stephan Adams Sr, MD
2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center,
Jonesboro, GA 30236-2500

Ph: (770) 603-3668

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Pediatrics Doctors in Jonesboro, GA

Mark C Becknell, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236
Phone: 770-603-3614    
Gary J Hirsch, PAC
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2400 Mount Zion Parkway, Pediatrics Health Care Team A, Jonesboro, GA 30236
Phone: 770-603-3649    
Dr. Tarissa Mitchell, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236
Phone: 770-603-3612    
Dr. Maria Teresa A Coleman, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 236 Arrowhead Blvd, Jonesboro, GA 30236
Phone: 770-478-9240    Fax: 770-478-0318
Supriya Hattangadi Kasi, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 236 Arrowhead Blvd, Jonesboro, GA 30236
Phone: 770-478-9240    
Lashawnda Doster Jones, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2400 Mount Zion Pkwy, Jonesboro, GA 30236
Phone: 404-365-0966    
Dr. Taisha K Okafor, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 236 Arrowhead Blvd, Jonesboro, GA 30236
Phone: 770-478-9240    Fax: 770-478-0318

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