Healthcare Provider Details

I. General information

NPI: 1366705592
Provider Name (Legal Business Name): SARAH NICOLE ADAMS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH NICOLE BRANDT

II. Dates (important events)

Enumeration Date: 06/21/2012
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

264 NEW SHACKLE ISLAND RD STE 103
HENDERSONVILLE TN
37075-2482
US

IV. Provider business mailing address

6701 BAUM DR STE 140
KNOXVILLE TN
37919-7361
US

V. Phone/Fax

Practice location:
  • Phone: 615-822-0858
  • Fax:
Mailing address:
  • Phone: 865-584-5727
  • Fax: 865-450-9904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number54126
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number54126
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number54126
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: