CMS-1500 Box 24J / 33a • NPI
1811210784
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
367500000X (CMS 43)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered
Box 32 Service Location & ZIP+4
4700 WATERS AVE, SAVANNAH, GA, 31404-6220
✓ 9-Digit EDI 837 ZIP+4 (31404-6220)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1811210784 (KENDRA R ADAMS, C.R.N.A.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1811210784)
Medicare Beneficiaries
161
Total Billed Services
214
Distinct CPT/HCPCS Codes
12
Medicare Allowed Total
$26,366.18
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
01938 | Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance | 11 |
01939 | Anesthesia for nerve destruction procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance | 48 |
01940 | Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance | 121 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1811210784 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KENDRA R ADAMS, C.R.N.A. |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered NUCC Code: 367500000X (Nurse Anesthetist, Certified Registered) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 4700 WATERS AVE, SAVANNAH, GA, 31404-6220 |
| Practice Telephone / Fax | Tel: (912) 350-8758 | Fax: (912) 350-6509 |
| Administrative Mailing Address | 4700 WATERS AVE, SAVANNAH, GA, 31404-6220 |
| Enumeration & Last Sync | Enumerated: 2010-03-08 | CMS Record Updated: 2025-09-12 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (367500000X)
What Does Taxonomy Code 367500000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 367500000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KENDRA R ADAMS, C.R.N.A.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
367500000X — Nurse Anesthetist, Certified RegisteredPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered | State: FL | License: APRN9264626 | Primary: Secondary |
367500000X — Nurse Anesthetist, Certified RegisteredPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered | State: GA | License: 175980 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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