EBONI JOY ADAMS – Family Medicine Physician, NPI 1891492310
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for EBONI JOY ADAMS
1253 Garden Dr
Longview, TX 756036871
Phone: (903) 220-3152
Type: Location
PO BOX 746079
ATLANTA, GA 303746079
Phone:
Type: Mailing
1207A E MARSHALL AVE
LONGVIEW, TX 756015604
Phone: (903) 907-7003
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 69 Open Payments records for all available years, with a total value of $1,088.
Total Amount is formed as General ($1,088) + Research ($0) + Ownership ($0) = $1,088.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Novo Nordisk Inc ($338).
Total Amount
$1,088
General + Research + Ownership
Payments
69
Total payment records
General Amount
$1,088
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $338 |
| Bayer Healthcare Pharmaceuticals Inc. | $198 |
| EVOKE PHARMA, INC. | $75 |
| Merck Sharp & Dohme LLC | $41 |
| ABBVIE INC. | $40 |
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: 2023-07-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230710001239 | I | Nurse Practitioner | TX | TBD |
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.
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 75603)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| Family Practice | TX |
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