MR. DERALD NICK ADAMS (NPI# 1922647213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922647213 |
Entity Type | Individual |
Full Name | MR. DERALD NICK ADAMS |
Credential | ED.S |
Practice Address |
1135 Gregg Hwy Nw Aiken SC 29801-6341 |
Mailing Address |
458 Old Cherokee Rd Ste 203 Lexington SC 29072-6971 |
Practice Telephone | 8036417700 |
Mailing Telephone | 8032501742 |
Enumeration Date | 2020-01-03 |
Last Update Date | 2020-06-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
7249 | SC | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
458 Old Cherokee Rd Ste 203, Lexington, SC 290726971 | 8032501742 |
Street Address |
1135 GREGG HWY NW |
City | AIKEN |
State | SC |
Zip Code | 29801-6341 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659426823 | Kenneth M Field | Social Worker | 1135 Gregg Hwy Nw, Aiken, SC 29801-6341 | 2007-01-25 |
1073122990 | Joshua Caleb Sandler | Social Worker | 1135 Gregg Hwy Nw, Aiken, SC 29801-6341 | 2020-07-27 |
1376152686 | Jayshreee Lee | Counselor | 1135 Gregg Hwy Nw, Aiken, SC 29801-6341 | 2020-07-23 |
1023632536 | Darby A Royal | Counselor | 1135 Gregg Hwy Nw, Aiken, SC 29801-6341 | 2020-05-31 |
1205459781 | Moesha Ikia Kendrick | Counselor | 1135 Gregg Hwy Nw, Aiken, SC 29801-6341 | 2020-05-19 |
1265068571 | Bethany Tschappat | Counselor | 1135 Gregg Hwy Nw, Aiken, SC 29801-6341 | 2020-03-18 |
1225660475 | Elisha Michelle Johnson | Counselor | 1135 Gregg Hwy Nw, Aiken, SC 29801-6341 | 2020-02-05 |
1528601028 | Laura Ann Johnson | Counselor | 1135 Gregg Hwy Nw, Aiken, SC 29801-6341 | 2019-10-28 |
1578105128 | Shanika Grant | Specialist | 1135 Gregg Hwy Nw, Aiken, SC 29801-6341 | 2019-10-16 |
1568010734 | Emily Siebach | Counselor | 1135 Gregg Hwy Nw, Aiken, SC 29801-6341 | 2019-08-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003457557 | Edwin Knight | Technician | 458 Wheat Rd, Aiken, SC 29801 | 2019-10-07 |
1669934469 | Julian Bogan | Counselor | 1135 Greg Hwy., Augusta, SC 29801 | 2019-04-02 |
1457820433 | Catherine Reddish | Home Health | 245 Hancock Rd Reddish Health Care Agency, Aiken, SC 29801 | 2018-11-19 |
1538653498 | Brenda Jean Jackson | Technician | 807 Dillon Ave, New Aiken, SC 29801 | 2018-06-14 |
1932649654 | Vageo Inc | Clinic/Center | 227 Chesterfiled St S, Aiken, SC 29801 | 2017-02-28 |
1629472550 | Andrea Ellis | Nurse Practitioner | 3525 Augustus Road, Agape Physicians Care, Aiken, SC 29801 | 2014-10-21 |
1699177782 | Joyce Walker Pompey | Registered Nurse | 471 University Parkway, Box 11, Aiken, SC 29801 | 2014-09-19 |
1578973251 | Rehab Without Walls, Inc. | Clinic/Center | 104 Florence St. Sw, Suite A, Aiken, SC 29801 | 2014-05-02 |
1609297571 | Katherine Delucas Duke | Counselor | 1135 Gregg Highway, Aiken, SC 29801 | 2013-12-19 |
1811328149 | Lynda Renee Green | Speech-Language Pathologist | 100 Bears Rock Rd., Aiken, SC 29801 | 2013-12-12 |
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Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144733726 | Janine Marie Stocker | Counselor | 407 Hayne Ave Sw Ste B, Aiken, SC 29801-2408 | 2017-11-06 |
1235669912 | Rachel Moulton Ryan | Counselor | 150 University Pkwy, Aiken, SC 29801-6387 | 2017-06-15 |
1215326848 | Adrian Thompson | Counselor | 1000 Twilight Ln Apt 1204, Aiken, SC 29801-6015 | 2015-01-20 |
1063779064 | Christy Ann Austin | Counselor | 156 Charleston Row Blvd, Aiken, SC 29803-6573 | 2012-04-13 |
1447555412 | Sandra A. Baxter | Counselor | 231 Barnwell Ave Nw, Suite E, Aiken, SC 29801-3903 | 2011-01-21 |
1306037502 | Lynn Rutland-addy | Counselor | 5210 Woodside Executive Park, Aiken, SC 29803-5285 | 2007-08-05 |
1528199825 | Paul J Leslie IIi | Counselor | 410 University Pkwy., Suite 2300, Aiken, FL 29801-6807 | 2007-03-08 |
1407985310 | Kevin Cunningham | Counselor | 1524b University Pkwy, Aiken, SC 29801-2899 | 2007-03-05 |
1942336904 | Yvonne Siddall | Counselor | 104 Florence St Sw, Aiken, SC 29801-3890 | 2007-02-26 |
1134146863 | Sandra Atkins Baxter, LLC | Counselor | 1696 Reynolds Pond Rd, Aiken, SC 29805-8028 | 2006-07-17 |
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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.