Healthcare Provider Details

I. General information

NPI: 1912879065
Provider Name (Legal Business Name): ROBERT MICHAEL ADAMS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2025
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7565 DANNAHER DR STE 225
POWELL TN
37849-4029
US

IV. Provider business mailing address

7557B DANNAHER DR STE 225
POWELL TN
37849-3568
US

V. Phone/Fax

Practice location:
  • Phone: 865-859-8000
  • Fax:
Mailing address:
  • Phone: 865-647-5800
  • Fax: 865-647-5979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number39253
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: