Adam Stephens was appointed to command the 4th Virginia Regiment in February 1776 when hostilities commenced between great Britain and the United Colonies. Stephens and his men established defenses in the Virginia Hampton roads area until he was promoted to the rank of Brigadier General in the fall of 1776. He was ordered to his brigade to New Jersey to join the main Army under General George Washington. Then later he would be promoted by Continental Congress to Major General on February 19, 1777. But after the Battle of Germantown on October 4, 1777 Adam Stephens would hit his lowest point after being found guilty of unofficer-like behavior after retreating from Germantown. He would be dismissed from the Continental Army and return to his home in Berkeley County.
When He returned to Berkeley County, Virginia He would resume his medical practices, farmed, and dabbled in local politics. Later dying on July 16, 1791. The present monument stone marks the site where he was buried.