| Nathan Kent Adams, PA-C | |
|
201 Village Oaks Dr, Saint Johns, FL 32259-3876 | |
| (904) 240-0442 | |
| (904) 240-0471 |
| Full Name | Nathan Kent Adams |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 201 Village Oaks Dr, Saint Johns, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396037370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 006082 (Georgia) | Secondary |
| 363A00000X | Physician Assistant | PA9105996 (Florida) | Primary |
| Entity Name | Center for Health & Sports Medicine LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386963932 PECOS PAC ID: 0547392201 Enrollment ID: O20100715000226 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan Kent Adams, PA-C 201 Village Oaks Dr, Saint Johns, FL 32259-3876 Ph: (904) 240-0442 | Nathan Kent Adams, PA-C 201 Village Oaks Dr, Saint Johns, FL 32259-3876 Ph: (904) 240-0442 |
Mary Stephens Mathis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1310 County Road 210 W, Saint Johns, FL 32259 Phone: 904-824-4407 Fax: 904-390-7459 |
Kimberly Eccher, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1820 State Road 13 Ste 11-926, Saint Johns, FL 32259 Phone: 888-730-5220 |
Chase Baruch, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Saint Elizabeth Way Ste 270, Saint Johns, FL 32259 Phone: 904-691-1001 Fax: 904-691-1002 |
Victoria Edwards, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 201 Village Oaks Dr, Saint Johns, FL 32259 Phone: 904-240-0442 |
Irina Rodriguez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1633 Race Track Rd, Saint Johns, FL 32259 Phone: 786-614-3155 |
Tyler Lelio, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3735 Longleaf Pine Pkwy Ste 207, Saint Johns, FL 32259 Phone: 904-201-3271 |
Michael Mazzoni, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 200 Leese Dr, Saint Johns, FL 32259 Phone: 210-243-5456 |