Shane M Adams (NPI# 1154361319, PAC ID# 8527155696) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1154361319 |
| PAC ID by PECOS | 8527155696 |
| Professional Enrollment ID | I20071106000678 |
| Full Name | Shane M Adams |
| Organization Legal Name | TRI-CITIES REGIONAL EMERGENCY PHYSICIANS, PC |
| Address |
1501 W Elk Ave Elizabethon TN 37643-2874 |
| Phone Number | 4235421300 |
| Gender | M |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3678859477 |
| Number of Group Practice Members | 79 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440018 | SYCAMORE SHOALS HOSPITAL |
| 440001 | UNICOI COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1501 W Elk Ave, Elizabethon, TN 37643-2874 | 4235421300 | TRI-CITIES REGIONAL EMERGENCY PHYSICIANS, PC |
| 2030 Temple Hill Rd, Erwin, TN 37650-8721 | 4237433141 | TRI-CITIES REGIONAL EMERGENCY PHYSICIANS, PC |
| Organization Legal Name | TRI-CITIES REGIONAL EMERGENCY PHYSICIANS, PC |
| Physicians | 52 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony Tin-lung Pang-ng | Family Medicine | Tri-cities Regional Emergency Physicians, PC | 1501 W Elk Ave, Elizabethon, TN 37643-2874 |
| Jeffrey D Turner | Emergency Medicine | Tri-cities Regional Emergency Physicians, PC | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 |
| Vedire Vijaysen Reddy | Emergency Medicine | Tri-cities Regional Emergency Physicians, PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| John H Mullins | Nurse Practitioner | Tri-cities Regional Emergency Physicians, PC | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 |
| Alexis Paije Greene | Nurse Practitioner | Tri-cities Regional Emergency Physicians, PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| David W Hale Jr. | Emergency Medicine | Tri-cities Regional Emergency Physicians, PC | 2000 Brookside Dr, Kingsport, TN 37660-4627 |
| Clifford G Williamson | Emergency Medicine | Tri-cities Regional Emergency Physicians, PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| Scott Denham | General Surgery | Tri-cities Regional Emergency Physicians, PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| Brett Reece | Nurse Practitioner | Tri-cities Regional Emergency Physicians, PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| Cristy G Lee | Emergency Medicine | Tri-cities Regional Emergency Physicians, PC | 1901 S Shady St, Mountain City, TN 37683-2021 |
| Street Address |
1501 W ELK AVE |
| City | ELIZABETHON |
| State | TN |
| Zip | 37643-2874 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony Tin-lung Pang-ng | Family Medicine | Tri-cities Regional Emergency Physicians, PC | 1501 W Elk Ave, Elizabethon, TN 37643-2874 |
| Pradeep Srikanthan | Family Medicine | Southeastern Physician Services PC | 1501 W Elk Ave, Elizabethon, TN 37643-2874 |
| William Edward Martin | Emergency Medicine | Tri-cities Regional Emergency Physicians, PC | 1501 W Elk Ave, Elizabethon, TN 37643-2874 |
| John R Barrowclough | Internal Medicine | Tri-cities Regional Emergency Physicians, PC | 1501 W Elk Ave, Elizabethon, TN 37643-2874 |
| Tabitha Justice | Nurse Practitioner | Tri-cities Regional Emergency Physicians, PC | 1501 W Elk Ave, Elizabethon, TN 37643-2874 |
| Joshua Brintle | Emergency Medicine | Tri-cities Regional Emergency Physicians, PC | 1501 W Elk Ave, Elizabethon, TN 37643-2874 |
| Christopher Smith | Emergency Medicine | Tri-cities Regional Emergency Physicians, PC | 1501 W Elk Ave, Elizabethon, TN 37643-2874 |
| Leah Merrick | Nurse Practitioner | Southeastern Physician Services PC | 1501 W Elk Ave, Elizabethon, TN 37643-2874 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Sams | Optometry | 114 S Sycamore St, Elizabethton, TN 37643-0001 | |
| Ashley C Baker | Optometry | Family Eyecare Center, Pllc | 629 Broad St, Elizabethton, TN 37643-2221 |
| Victoria Ashley Howard | Optometry | Family Eyecare Center, Pllc | 629 Broad St, Elizabethton, TN 37643-2221 |
| John Francis Holland | Optometry | Family Eyecare Center, Pllc | 629 Broad St, Elizabethton, TN 37643-2221 |
| Stephen Edward Wheeler | Chiropractic | 835 Broad St, Elizabethton, TN 37643-2312 | |
| Charles Peters Iii | Physical Therapy | Champion Physical Therapy LLC | 420 Railroad St, Elizabethton, TN 37643-2504 |
| Kimberly Kay Kleine | Nurse Practitioner | Shc Medical Partners of Tennessee, LLC | 1500 W Elk Ave, Suite 109, Elizabethton, TN 37643-2655 |
| Jessica R Odell | Nurse Practitioner | Blue Ridge Medical Management Corporation | 1505 W Elk Ave, Suite 2, Elizabethton, TN 37643-2848 |
| Prabha Jaishwal Long | Nurse Practitioner | Blue Ridge Medical Management Corporation | 1505 W Elk Ave, Suite 2, Elizabethton, TN 37643-2848 |
| Sheryl D Pack | Family Medicine | Blue Ridge Medical Management Corporation | 1497 W Elk Ave, Suite 21, Elizabethton, TN 37643-2872 |
| Find all physicians in zip 37643 | |||
| City | ELIZABETHON |
| Zip Code | 37643 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ELIZABETHON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Shane M Adams.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.