Jonathan Allen Adams, DO
Individual provider Active NPI Family Medicine Physician · Charlotte, NC
NPI 1215566575 · NPPES record last updated Jul 24, 2023
Key facts
- NPI
- 1215566575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2023-01935 (NC)
- Practice address
- 7903 Providence Rd Ste 100
Charlotte, NC 28277-9763 - Phone
- (704) 316-4460
- Fax
- (704) 316-4466
- NPI assigned
- Apr 7, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Novant Health Medical Group, LLC
Practice addresses (Care Compare)
7903 Providence Rd
Suite 100
Charlotte, NC 28277-9763
Phone (704) 316-1652
Hospital & facility affiliations
- Novant Health Matthews Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230919003620 | NC | Practitioner - Family Practice | 8628490174 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023-01935 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current |
Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current |
Accepting new patients |
Locations
200 Greenwich Rd
Charlotte, NC 28211
Phone (704) 384-8680
7903 Providence Rd
Ste 100
Charlotte, NC 28277
Phone (704) 316-4460
10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- jadams1143949@direct.novanthealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2023-01935 | NC | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
7903 Providence Rd Ste 100
Charlotte, NC 28277-9763
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 935-8808
Other providers in Charlotte, NC
- Christine Noel Adams
- Dekevis Lamar Adams
- Iyana L Adams
- Jabari Adams
- John C Adams
- Josie Adams
- Julie Marie Adams
- Lisa Lenere Adams
- Logan Dale Adams
- Madeleine Adams
All providers in Charlotte, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.