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DR. DON E ADAMS III MD
NPI 1245215847
Internal Medicine in Johnson City, TN

Active since December 07, 2005PECOS EnrolledAccepts Medicare Assignment
408 N STATE OF FRANKLIN RD, SUITE 24, JOHNSON CITY, TN 37604(423) 431-1810(423) 431-1811 Get Directions Write a Review

NPPES record last updated: December 5, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Don E Adams Iii Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DON E ADAMS III MD (NPI 1245215847) is an individual internal medicine provider in Johnson City, Tennessee, licensed in Tennessee (38673) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2001).

NPPES Registry Identity

NPI1245215847
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DON E ADAMS IIICredential: MD
Location Address408 N STATE OF FRANKLIN RD, SUITE 24Johnson City, TN 37604-6089
Mailing Address408 N State Of Franklin Rd, Suite 24Johnson City, TN 37604-6089 · (423) 431-1810 · Fax (423) 431-1811
Phone(423) 431-1810
Fax(423) 431-1811
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2001
Enumeration DateDecember 7, 2005
Last NPPES UpdateDecember 5, 2014
✔ NPI 1245215847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 38673
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 38673 (TN)
408 N STATE OF FRANKLIN RD, Johnson City, TN 37604
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Other Identifiers 5

OtherP01163961TN · Rr Medicare
Medicare PIN103I115053TN
Medicaid3822270TN
Medicaid1245215847VA
Medicare PIN103I115055TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Don E Adams Iii Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709866817
PECOS Enrollment IDI20250926004154
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Don Adams reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Education Assistance Corporation
2.6 mi
Internal Medicine
101 MED TECH PKWY STE 306
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 341 clinicians in this Medicare group
NPI 1235180480 (423) 433-6039
Integrated Health Transitions, PLLC
4.0 mi
Internal Medicine
3209 BRISTOL HWY
Johnson City, TN 37601
  • Reassigned Medicare billing, Georgia, South Carolina, Tennessee and Virginia enrollments
NPI 1922463470 (423) 926-2358
Renuven Aco PLLC
4.0 mi
Internal Medicine
3209 BRISTOL HWY
Johnson City, TN 37601
  • Reassigned Medicare billing, Georgia, South Carolina, Tennessee and Virginia enrollments
  • 10 clinicians in this Medicare group
NPI 1568209872 (423) 926-2358
Renuven Health Partners Of Georgia PC
185 mi
Internal Medicine
2403 BATTLEFIELD PKWY
Fort Oglethorpe, GA 30742
  • Reassigned Medicare billing, Georgia and South Carolina enrollments
  • 12 clinicians in this Medicare group
NPI 1871196519 (423) 979-5804

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
87 services37 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
85 services77 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
78 services74 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
54 services48 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
28 services24 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAULA RENEE SMITH M.D.
Internal Medicine
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Washington County (423) 431-1810
MR. LARRY MICHAEL STEVENS II APN
Nurse Practitioner (Adult Health)
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Washington County (423) 431-1810
DR. SAMUEL WINSTON HUDDLESTON V M.D.
Radiology (Diagnostic Radiology)
408 N STATE OF FRANKLIN RD, SUITE 31
JOHNSON CITY, TN 37604
Washington County (423) 431-2478
ALEXIS HODGE DUTY FNP
Nurse Practitioner (Family)
408 N STATE OF FRANKLIN RD, SUITE 31B
JOHNSON CITY, TN 37604
Washington County (423) 431-4946
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Neurological Surgery
408 N STATE OF FRANKLIN RD, SUITE 42
JOHNSON CITY, TN 37604
Washington County (423) 431-2350
MRS. AMIE JARRETT BRIGGS FNP-BC
Nurse Practitioner
408 N STATE OF FRANKLIN RD, SUITE 31C
JOHNSON CITY, TN 37604
Washington County (423) 431-4946
DR. ANDREW S PIERCE MD
Internal Medicine
408 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-1810
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Internal Medicine (Gastroenterology)
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Washington County (423) 431-1810

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Don Adams's NPI number?

The NPI number for Don Adams is 1245215847. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Don Adams located?

Don Adams practices at 408 N State Of Franklin Rd Suite 24, Johnson City, TN 37604. The listed phone number is (423) 431-1810.

What is Don Adams's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Don Adams enrolled in Medicare?

Yes. Don Adams is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Don Adams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Don Adams reassigns Medicare benefits to 4 organizations: Medical Education Assistance Corporation (Johnson City, TN), Integrated Health Transitions, PLLC (Johnson City, TN), Renuven Aco PLLC (Johnson City, TN) and Renuven Health Partners Of Georgia PC (Fort Oglethorpe, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Don Adams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Don Adams accept?

Health plans from Cigna Healthcare and Oscar Insurance Company list Don Adams as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Don Adams was last updated on December 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.