GENE DEWAYNE ADAMS PA
NPI 1508961301
Physician Assistant - Medical in Cookeville, TN
NPI Status: Active since September 14, 2006
Contact Information
340 N CEDAR AVE
COOKEVILLE, TN
ZIP 38501
Phone: (931) 783-5353
Fax: (931) 783-4994
- Individual
- Male
- Years of Experience 20
- Physician Assistant
- Medical
- PECOS Enrolled
- Accepts Medicare Approved Payment
- Medicare Quality Reporting
About GENE ADAMS
Gene Adams is a primary care provider established in Cookeville, Tennessee and his medical specialization is Physician Assistant with a focus in medical with more than 20 years of experience. The healthcare provider is registered in the NPI registry with number 1508961301 assigned on September 2006. The practitioner's primary taxonomy code is 363AM0700X with license number 1160 (TN). The provider is registered as an individual and his NPI record was last updated February 2024.
- NPI
- 1508961301
- Provider Name
- GENE DEWAYNE ADAMS PA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 340 N CEDAR AVE COOKEVILLE, TN 38501
- Location Phone
- (931) 783-5353
- Location Fax
- (931) 783-4994
- Mailing Address
- 501 GREAT CIRCLE ROAD SUITE 200 NASHVILLE, TN 37228
- Mailing Phone
- (931) 738-9211
- Mailing Fax
- (931) 783-4994
- Medical School Name
- OTHER
- Graduation Year
- 2004
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-14-2006
- Last Update Date
- 02-01-2024
- Code Navigator
A primary care provider (PCP) like Gene Adams sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Gene Adams is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
The provider participated in CMS Quality Payment Program and the following quality measures were reported: chronic care and preventative care management for empaneled patients, implementation of medication management practice improvements, measurement and improvement at the practice and panel level and use of decision support and standardized treatment protocols. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 1160
- License State
- TN
Location Map
Secondary Locations
- 1589 Sparta St Ste 104
McMinnville, TN 37110
(931) 815-6400
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Ambetter from Arkansas Health & Wellness
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver - PPO
- Complete Silver + Vision + Adult Dental - PPO
Ambetter from Home State Health
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Clear Silver - EPO
Ambetter from Magnolia Health
- Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
- Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
- Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
- Choice Bronze HSA with Walgreens - HMO
- Choice Bronze HSA with Walgreens + Vision + Adult Dental - HMO
Ambetter from Peach State Health Plan
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Bronze - HMO
- Clear Bronze + Vision + Adult Dental - HMO
- Clear Gold - HMO
Ambetter of Alabama
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
Ambetter of North Carolina
- Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
- Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
- Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
Ambetter of Tennessee
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
BlueCross BlueShield of Tennessee
- BlueCross B07S HSA + $0 Virtual Care for Medical & Mental Health - EPO
- BlueCross B08S $0 Virtual Care for Medical & Mental Health - EPO
- BlueCross B10S $0 Virtual Care for Medical & Mental Health - EPO
- BlueCross B15S $0 Virtual Care for Medical & Mental Health - EPO
- BlueCross B16S $50 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
Cigna Healthcare
- Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze 5500 Indiv Med Deductible - EPO
- Connect Bronze 6500 Indiv Med Deductible - EPO
- Connect Bronze 8500 Indiv Med Deductible - EPO
- Connect Bronze CMS Standard - EPO
Oscar Insurance Company
- Bronze Classic 4700 - EPO
- Bronze Classic PCP Saver Plus - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Simple 2 - EPO
UnitedHealthcare
- UHC Bronze Copay Focus (Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Essential (Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Value (Virtual Urgent Care + PCP Visits, No Referrals) - EPO
- UHC Bronze Value HSA (No Referrals) - EPO
US Health and Life
- Ascension Personalized Care Balanced Bronze - EPO
- Ascension Personalized Care Low Premium Silver - EPO
- Ascension Personalized Care No Deductible Silver - EPO
- Ascension Personalized Care No Medical Deductible Bronze - EPO
- Ascension Personalized Care Standard Expanded Bronze - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
PECOS Enrollment and Medicare Participation Status
Gene Adams is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 840299673
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20061205000445
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Quality Reporting
The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
Hospital Affiliations
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Gene Adams is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| COOKEVILLE REGIONAL MEDICAL CENTER | 1 MEDICAL CENTER BOULEVARD COOKEVILLE, TN 38501 | (931) 783-2000 | Acute Care Hospitals | |
| SAINT THOMAS RIVER PARK HOSPITAL | 1559 SPARTA STREET MC MINNVILLE, TN 37110 | (931) 815-4101 | Acute Care Hospitals | |
| SAINT THOMAS HIGHLANDS HOSPITAL | 401 SEWELL DR SPARTA, TN 38583 | (931) 738-9211 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 0 | 8 | 9 | 6 | 1 | 3 | 0 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 18 | 6 | 2 | 3 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 1 + 8 + 6 + 2 + 3 + 0 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1508961301 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1821086505 | UPPER CUMBERLAND SURGICAL ASSOCIATE Organization | Surgery | 340 N CEDAR AVE COOKEVILLE, TN 38501 (931) 528-6496 |
| 1124578984 | CAITLIN LOCKE PA-C Individual | Physician Assistant | 340 N CEDAR AVE COOKEVILLE, TN 38501 (931) 783-5353 |
| 1952848236 | MS. NATALIE ALONZO FNP-BC Individual | Nurse Practitioner (Family) | 340 N CEDAR AVE COOKEVILLE, TN 38501 (931) 783-5353 |
| 1386668838 | DR. ROY R ANDERSON M.D. Individual | Internal Medicine | 340 N CEDAR AVE COOKEVILLE, TN 38501 (931) 783-5353 |
| 1477559649 | DR. JAMES WADE BOLTON DC, APRN, FNP-C Individual | Nurse Practitioner (Family) | 340 N CEDAR AVE COOKEVILLE, TN 38501 (931) 783-5353 |
| 1598391831 | TERA CAMPBELL FNP Individual | Nurse Practitioner (Family) | 340 N CEDAR AVE COOKEVILLE, TN 38501 (931) 783-5353 |
| 1639554066 | MS. CHERYLE LUANE LEVOY APRN, FNP-C Individual | Nurse Practitioner (Family) | 340 N CEDAR AVE COOKEVILLE, TN 38501 (931) 783-5353 |
| 1699167791 | KAYLA ELIZABETH ANDERSON N.P. Individual | Nurse Practitioner (Family) | 340 N CEDAR AVE COOKEVILLE, TN 38501 (931) 783-5353 |
| 1891019055 | ELIZABETH J WHITE FNP-C Individual | Nurse Practitioner (Family) | 340 N CEDAR AVE COOKEVILLE, TN 38501 (931) 783-5582 |
| 1295971836 | TAMARA LEE COPELAND PA-C Individual | Physician Assistant | 340 N CEDAR AVE COOKEVILLE, TN 38501 (931) 783-5353 |
| 1992433270 | ANNA NICOLE D HALE NP Individual | Nurse Practitioner (Family) | 340 N CEDAR AVE COOKEVILLE, TN 38501 (931) 783-5353 |
| 1932815339 | RUNGNAPA KANNU-MELSON NP Individual | Nurse Practitioner | 340 N CEDAR AVE COOKEVILLE, TN 38501 (931) 783-5353 |
| 1659751865 | MAGGIE BULLOCK NP-C Individual | Nurse Practitioner (Family) | 340 N CEDAR AVE COOKEVILLE, TN 38501 (931) 783-5353 |
| 1619567831 | LUCAS TYLER PITTMAN PHYSICIAN ASSISTANT Individual | Physician Assistant | 340 N CEDAR AVE COOKEVILLE, TN 38501 (931) 783-5353 |
| 1700302171 | MR. BLAKE HUDDLESTON PA-C Individual | Physician Assistant (Medical) | 340 N CEDAR AVE COOKEVILLE, TN 38501 (931) 783-5353 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508961301, enumerated in the NPI registry as an "individual" on September 14, 2006
The provider is located at 340 N Cedar Ave Cookeville, Tn 38501 and the phone number is (931) 783-5353
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
The provider has more than 20 years of experience.
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of May 10, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The practitioner is affiliated to the following hospital(s): COOKEVILLE REGIONAL MEDICAL CENTER, SAINT THOMAS RIVER PARK HOSPITAL and SAINT THOMAS HIGHLANDS HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on September 14, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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