JASMINE ADAMS (PA-C) – Physician Assistant, NPI 1669011094

JASMINE ADAMS (PA-C) is a healthcare provider. based in Clarksville, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 4195 (TN). The NPI Number for JASMINE ADAMS (PA-C) is 1669011094

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
JASMINE ADAMS (PA-C)
NPI
1669011094
Phone
(615) 513-3984
Address
609 ROCKY HILL RD
Enumeration Date
2 January 2020
Last Update Date
23 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9312892450
Graduation Year
2020 (6 years ago)
PAC ID
7113345182
Group Practice PAC ID
6305839093
Professional Enrollment ID
I20201113002336
Address ID
TN370616113ER21XXXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

Provider Addresses for JASMINE ADAMS (PA-C)

  • 609 ROCKY HILL RD

    CLARKSVILLE, TN 370426019

    Phone: (615) 513-3984

    Type: Mailing

  • 4777 ANDREW JACKSON PKWY STE 102

    HERMITAGE, TN 370761356

    Phone: (615) 674-0909

    Fax: (615) 334-0227

    Type: Location

  • 609 Rocky Hill Rd

    Clarksville, TN 370426019

    Phone: (615) 513-3984

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $598.

Total Amount is formed as General ($598) + Research ($0) + Ownership ($0) = $598.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($239).

Total Amount

$598

General + Research + Ownership

Payments

33

Total payment records

General Amount

$598

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-11-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201113002336IPhysician AssistantTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37042)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305839093View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerOK
Physician AssistantTN
Nurse PractitionerTN
Nurse PractitionerNH
General PracticeTN
Physician AssistantTN
Nurse PractitionerTN
Nurse PractitionerFL
Physician AssistantTN

Reviews

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Frequently asked questions

Can I use this page to confirm JASMINE ADAMS (PA-C)'s NPI?
Yes. JASMINE ADAMS (PA-C) is listed with NPI 1669011094 in the public NPI dataset.
Does CMS list JASMINE ADAMS (PA-C) as active?
Yes — JASMINE ADAMS (PA-C) is active in the NPI listing used on this page.
What is JASMINE ADAMS (PA-C)'s specialty?
The listing groups JASMINE ADAMS (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect JASMINE ADAMS (PA-C) on a map?
Expect Clarksville, Tennessee as a primary anchor for JASMINE ADAMS (PA-C) unless the record lists multiple sites.
Is the information about JASMINE ADAMS (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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