Look up the most recent NPI and PECOS records

Tracy Lee Adams

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2100 State Ave, Panama City, FL 32405-4587

PECOS Enrollment

This provider is enrolled in PECOS as TRACY ADAMS.

Based on the most recent information from CMS, provider Tracy Lee Adams is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1659854958
Provider Type
Individual
Full Name
Adams, Tracy Lee
Title
Dr.
Credential
DNP, ARNP, FNP-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/12/2018
Last Updated
2/27/2023

Contact Information

Practice Location

2100 State Ave, Panama City, FL 32405-4587

(850) 763-0036

(850) 763-0259

Mailing Location

5701 Bayou George Rd, Panama City, FL 32404-5052

(850) 763-0019

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNP3400512 Florida

Provider Identifiers

ID	Description	Issuer
ID 111417100	Description Medicaid	Issuer Unlisted Florida

Tracy Lee Adams

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Rogers, Joan Barbaree

Ruano Olivero, Anaiya D

Kattasseri Varghese, Neethu

Ruder, Martha

Brooks, Ashli A

Albert-Smith, Cassidi Leanne

Pauley, Odie C

Applewhite Cox, Alex S

Sauls, Lauren Olivia

Patel, Hetvi D