Individual
MR. JAMES D ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T
Contact information
Practice address
1561 ELLIS RD, GREENVILLE, MS 38701-8800
(662) 822-4229
Mailing address
1561 ELLIS RD, GREENVILLE, MS 38701-8800
(662) 822-4229
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 2640
AR
225100000X
Physical Therapist
PT2502
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13831477
CAQH
—
05
—
149491721
—
AR
05
—
25383559
—
MS
01
—
524876ZWBL
PTAN
—
01
—
5AB50
BCBS
AR
01
—
PT2502
MS LIC
MS
01
—
PT2640
AR LIC
AR
Enumeration date
04/11/2007
Last updated
04/14/2025
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