MEDICARE: MR. AARON L. ADAMS RPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT002989	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225147820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. AARON L. ADAMS RPT

Provider Business Mailing Address
First Line	:	220 BANKS XING
Second Line	:
City	:	FAYETTEVILLE
State	:	GA
Zip	:	30214-7814
Country	:	US
Telephone Number	:	770-716-9121
Fax Number	:	770-716-2474

Provider Business Practice Location Address
First Line	:	155 CARNEGIE PL
Second Line	:	SUITE 103
City	:	FAYETTEVILLE
State	:	GA
Zip	:	30214-3981
Country	:	US
Telephone Number	:	770-716-9121
Fax Number	:	770-716-2474

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	12/03/2025

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