Provider Demographics
NPI:1972678217
Name:ADAMS, CARLOS DARNELL (RN, DNP, MBA, CRNP)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:DARNELL
Last Name:ADAMS
Suffix:
Gender:M
Credentials:RN, DNP, MBA, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 BIRCHALL LN APT 109
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-6438
Mailing Address - Country:US
Mailing Address - Phone:334-435-6618
Mailing Address - Fax:
Practice Address - Street 1:631 BEACON PKWY W STE 108
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-3130
Practice Address - Country:US
Practice Address - Phone:205-517-7100
Practice Address - Fax:205-517-7101
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71001665A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN71001665AOtherNURSE PRACTITIONER LICENS
AL1-079930OtherRN LICENSE
AL30178910OtherANCC FAMILY NURSE PRACTITIONER CERTIFICATION
IN28158903AOtherRN LICENSE
IN28158903AOtherRN LICENSE
IN1656100Medicare ID - Type Unspecified