TRESSELYN DOUGLAS ADAMS (NPI# 1104051168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104051168 |
| Entity Type | Individual |
| Full Name | TRESSELYN DOUGLAS ADAMS |
| Credential | PMHNP-BC |
| Practice Address |
1345 Redmond Cir Nw Rome GA 30165-1307 |
| Mailing Address |
Po Box 538622 Atlanta GA 30353-8622 |
| Practice Telephone | 9107429243 |
| Practice Fax Number | 8887461787 |
| Mailing Telephone | 9107429243 |
| Mailing Fax Number | 8887461787 |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2019-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN112304 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN112304 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FAMILY NURSE PRATITIONER CERTIFIED | F1108140 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1007 Memorial Dr, Griffin, GA 302234445 | 7704674715 | 7702293170 |
| Street Address |
1345 REDMOND CIR NW |
| City | ROME |
| State | GA |
| Zip Code | 30165-1307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437100484 | Phyllis J Jeter | Social Worker | 1345 Redmond Cir Nw, Rome, GA 30165-1307 | 2006-05-15 |
| 1265064455 | Aubrie Kreft | Physical Therapist | 1345 Redmond Cir Nw, Rome, GA 30165-1307 | 2020-02-06 |
| 1275182024 | Analyn Castanar | Occupational Therapist | 1345 Redmond Cir Nw, Rome, GA 30165-1307 | 2019-09-04 |
| 1801444260 | Jennifer Iverson | Social Worker | 1345 Redmond Cir Nw, Rome, GA 30165-1307 | 2019-08-29 |
| 1912477266 | Sarah Pickering | Physical Therapist | 1345 Redmond Cir Nw, Rome, GA 30165-1307 | 2018-11-29 |
| 1225508542 | Breonna Leon | Nurse Practitioner | 1345 Redmond Cir Nw, Rome, GA 30165-1307 | 2018-11-29 |
| 1962940817 | Lifesource of North Carolina | Psychologist | 1345 Redmond Cir Nw, Rome, GA 30165-1307 | 2017-02-10 |
| 1669801551 | Barbara Rubin | Psychologist | 1345 Redmond Cir Nw, Rome, GA 30165-1307 | 2013-11-01 |
| 1437101607 | Ggnsc Rome LLC | Skilled Nursing Facility | 1345 Redmond Cir Nw, Rome, GA 30165-1307 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083171326 | Jason Edward Watts | Nurse Practitioner | 314 Shorter Ave Nw, Rome, GA 30165-4268 | 2019-02-22 |
| 1962927574 | Shelia Mae Gallogly | Nurse Practitioner | 227 W Dominick St, Rome, NY 13440-5859 | 2017-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740398 | Audline Maria Hodnett | Nurse Practitioner | 4805 W Village Way Se Apt 2208, Smyrna, GA 30080-9227 | 2020-11-05 |
| 1073111845 | George Mackel, Pmhnp-bc, LLC | Nurse Practitioner | 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 | 2020-10-14 |
| 1356958060 | Earl Delk | Nurse Practitioner | 3365 Ridgerock Way, Snellville, GA 30078-4176 | 2020-09-26 |
| 1609482991 | Tammy Haskins Bailey | Nurse Practitioner | 196 Laying Farm Rd Se, Milledgeville, GA 31061-9714 | 2020-09-22 |
| 1861007403 | Caring Clinic LLC | Nurse Practitioner | 114 Wrights Dr, Milledgeville, GA 31061 | 2020-09-10 |
| 1376156364 | Katrina Ransom Clark | Nurse Practitioner | 120 Walker Dr Nw, Milledgeville, GA 31061-9561 | 2020-08-28 |
| 1457963746 | Evelyn Ahiante Dennis | Nurse Practitioner | 3325 Emden Ct, Snellville, GA 30039-6047 | 2020-08-19 |
| 1194335620 | Jennifer Logan | Nurse Practitioner | 424 Scotts Way, Augusta, GA 30909-3135 | 2020-08-10 |
| 1750991592 | Jamie Rae Mccracken | Nurse Practitioner | 2538 Gordon Cir Se, Smyrna, GA 30080-8123 | 2020-08-06 |
| 1285244608 | Amcare Substance Abuse and Addiction Counseling | Nurse Practitioner | 3615 Hutchinson Rd Ste 203, Cumming, GA 30040-0501 | 2020-08-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TRESSELYN DOUGLAS ADAMS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.