JONATHAN ADAMS, DO

NPI 1215566575 Active Family Medicine

Quick Facts

NPI Number

1215566575

Type

Individual (NPI-1)

Credential

Status

Active

Enumeration Date

2020-04-07

Last Updated (NPPES)

2023-07-24

Primary Specialty / Taxonomy

Taxonomy	Family Medicine
Taxonomy Code	`207Q00000X`
License	2023-01935 NC

Other Taxonomies

Student in an Organized Health Care Education/Training Program

Practice Address

7903 PROVIDENCE RD STE 100
CHARLOTTE, NC 282779763

Phone: 704-316-4460

Fax: 704-316-4466

Mailing Address

PO BOX 60447
CHARLOTTE, NC 282600447

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.