CMS-1500 Box 24J / 33a • NPI
1932430741
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363A00000X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
Box 32 Service Location & ZIP+4
105 W STONE DR STE 4B, KINGSPORT, TN, 37660-3365
✓ 9-Digit EDI 837 ZIP+4 (37660-3365)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1932430741 (LISA M ADAMS, PA-C) 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
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1932430741)
Medicare Beneficiaries
380
Total Billed Services
2,650
Distinct CPT/HCPCS Codes
48
Medicare Allowed Total
$51,708.33
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
20600 | Aspiration and/or injection of fluid from small joint | 13 |
20610 | Aspiration and/or injection of fluid from large joint | 181 |
72100 | X-ray of lower and sacral spine, 2-3 views | 28 |
73030 | X-ray of shoulder, minimum of 2 views | 72 |
73110 | X-ray of wrist, minimum of 3 views | 14 |
73502 | X-ray of hip, 2-3 views | 34 |
73560 | X-ray of knee, 1-2 views | 89 |
73565 | X-ray of both knees while standing | 85 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Celecoxib Celecoxib | 24 | 24 |
| Cyclobenzaprine Hcl Cyclobenzaprine Hcl | 40 | 37 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 18 | 18 |
| Ibuprofen Ibuprofen | 13 | <11 |
| Meloxicam Meloxicam | 43 | 33 |
| Methylprednisolone Methylprednisolone | 174 | 170 |
| Tizanidine Hcl Tizanidine Hcl | 16 | 14 |
| Tramadol Hcl Tramadol Hcl | 14 | 14 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1932430741 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | LISA M ADAMS, PA-C |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant NUCC Code: 363A00000X (Physician Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 105 W STONE DR STE 4B, KINGSPORT, TN, 37660-3365 |
| Practice Telephone / Fax | Tel: (423) 578-1570 |
| Administrative Mailing Address | PO BOX 9, KINGSPORT, TN, 37662-0009 |
| Enumeration & Last Sync | Enumerated: 2010-01-18 | CMS Record Updated: 2023-06-29 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (363A00000X)
What Does Taxonomy Code 363A00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (LISA M ADAMS, PA-C)
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 |
|---|---|
363AM0700X — Physician Assistant, MedicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical | State: TN | License: 1794 | Primary: Secondary |
363AS0400X — Physician Assistant, SurgicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical | State: TN | License: 1794 | Primary: Secondary |
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: TN | License: 1794 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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