NPIMap

Individual provider Active NPI

Adam M Wolberg, DO

  • Diagnostic Radiology Physician
  • Charleston, SC
National Provider Identifier
1073140406
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
17019 Issued in GA
Practice address
96 Jonathan Lucas St RM 301
Charleston, SC 29425-8900
Phone
(843) 792-7700
NPI assigned
Mar 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 17019 GA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

96 Jonathan Lucas St RM 301
Charleston, SC 29425-8900

Mailing address

96 Jonathan Lucas St RM 301
Charleston, SC 29425-8900
Phone (843) 792-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250501001131 FL Practitioner - Diagnostic Radiology 1153712617 Reassigns benefits to 4 organizations
I20251112002800 TN Practitioner - Diagnostic Radiology 1153712617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians

Practice addresses (Care Compare)

Satellite Beach, FL 32937
Phone (615) 312-0600

13521 Saw Palm Creek TRL
Bradenton, FL 34211-2611
Phone (404) 662-2438

Hospital & facility affiliations

  • Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064
  • Tristar Northcrest Medical Center Hospital, Springfield, TN, CCN 440065
  • Uf Health Shands Hospital Hospital, Gainesville, FL, CCN 100113
  • Miller County Hospital Hospital, Colquitt, GA, CCN 111305
  • Wellstar West Georgia Medical Center Hospital, Lagrange, GA, CCN 110016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
6127TNMDProfessional Counselor
17019GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince Nov 3, 2025 Accepting new patients
Middle Tennessee Imaging LLC Diagnostic Radiology CurrentSince Nov 3, 2025 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Nov 3, 2025 Accepting new patients

Locations

2655 Ulmerton Rd
Clearwater, FL 33762
Phone (443) 625-5439

1000 Johnson Ferry Rd
Ste 2
Sandy Springs, GA 30342

28 White Bridge Pike
Ste 111
Nashville, TN 37205
Phone (615) 986-6153

Interoperability endpoints

  • Direct secure messaging: awolberg789051@direct.shands.ufl.edu

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1073140406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 JONATHAN LUCAS ST RM 301",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258900",
            "telephone_number": "843-792-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 JONATHAN LUCAS ST RM 301",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258900",
            "telephone_number": "843-792-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLBERG",
        "first_name": "ADAM",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "17019",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.