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ADAM JAMES MD
NPI 1295364586
Family Medicine in Gallatin, TN

Active since April 07, 2020PECOS EnrolledAccepts Medicare Assignment
225 BIG STATION CAMP BLVD, GALLATIN, TN 37066(615) 328-3400(615) 328-3416 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2024, Oct 19, 2023, Oct 10, 2023 and 1 more (4 updates tracked since 2020).

About Adam James Md NPPES

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

ADAM JAMES MD (NPI 1295364586) is an individual family medicine provider in Gallatin, Tennessee, licensed in Tennessee (68934) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Sumner Regional Medical Center, and is a graduate of East Tennessee State University Quillen College Of Medicine (2020).

NPPES Registry Identity

NPI1295364586
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameADAM JAMESCredential: MD
Location Address225 BIG STATION CAMP BLVDGallatin, TN 37066-8464
Mailing Address225 Big Station Camp BlvdGallatin, TN 37066-8464 · (615) 328-3400 · Fax (615) 328-3416
Phone(615) 328-3400
Fax(615) 328-3416
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2020
Enumeration DateApril 7, 2020
Last NPPES UpdateFebruary 8, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2024
✔ NPI 1295364586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · 68934
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
225 BIG STATION CAMP BLVD, Gallatin, TN 37066
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adam James 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 ID7416377965
PECOS Enrollment IDI20230913001136
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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
77 services53 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services29 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
14 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sumner Regional Medical Center

Acute Care Hospitals · Gallatin, TN
1/5 CMS rating
OwnershipProprietary
CMS Certification Number440003
Location555 Hartsville PikeGallatin, TN 37066 · Sumner County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37066 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
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 11

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

JEFFRIE C KINDRED DO
Family Medicine (Sports Medicine)
225 BIG STATION CAMP BLVD
GALLATIN, TN 37066
Sumner County (615) 328-3380
DANIELLE ALLEN MD
Pediatrics
225 BIG STATION CAMP BLVD
GALLATIN, TN 37066
Sumner County (615) 322-5000
SUMNER PHYSICIAN PRACTICES LLC
Family Medicine (Sports Medicine)
225 BIG STATION CAMP BLVD
GALLATIN, TN 37066
Sumner County (615) 328-3380
DR. MEGAN MICHELE MCCAULEY MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
225 BIG STATION CAMP BLVD, SUITE 206
GALLATIN, TN 37066
Sumner County (615) 328-3400
DR. BRITTANY CRIDER MD
Family Medicine
225 BIG STATION CAMP BLVD
GALLATIN, TN 37066
Sumner County (615) 328-3400
MRS. KAYLEE WOODALL MAYBERRY PA-C
Physician Assistant
225 BIG STATION CAMP BLVD
GALLATIN, TN 37066
Sumner County (615) 328-3400
PARIS ASHLEY YAMEK MD
Pediatrics
225 BIG STATION CAMP BLVD
GALLATIN, TN 37066
Sumner County (615) 322-5000
DIANNA L SHIPLEY MD
Internal Medicine (Medical Oncology)
225 BIG STATION CAMP BLVD, SUITE 201
GALLATIN, TN 37066
Sumner County (615) 451-5481

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 Adam James's NPI number?

The NPI number for Adam James is 1295364586. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Where is Adam James located?

Adam James practices at 225 Big Station Camp Blvd, Gallatin, TN 37066. The listed phone number is (615) 328-3400.

What is Adam James's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Adam James enrolled in Medicare?

Yes. Adam James 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.

What insurance does Adam James accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Adam James 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.

Is Adam James affiliated with any hospitals?

According to CMS data, Adam James is affiliated with Sumner Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Adam James was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.