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NPI 1497026066 · live from the CMS NPI Registry

Bereshith Noah Adams, NP

Nurse Practitioner in Fayetteville, GA. National Provider Identifier 1497026066, active.

NPI record

NPI1497026066 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner 363L00000X
Practice location1265 Highway 54 W Ste 305, Fayetteville, GA 30214
Practice phone770-719-5660
Mailing address1000 Asylum Avenue, Suite 2109a, Hartford, CT 06105
EnumeratedJanuary 13, 2012
Last updatedFebruary 3, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Surgery208600000XAPRN-NP296172 (GA)
Nurse Practitioner primary363L00000XAPRN-NP296172 (GA)
Nurse Practitioner363L00000X4881 (CT)
Nurse Practitioner363L00000X5013966 (NC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.