Charles P. Adams Jr. MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0045165 Issued in FL

Legal business name

CHARLES P. ADAMS JR. MD PA

Practice address

1034 Riverside Ave
Jacksonville, FL 32204-4123

Phone

(904) 354-2114

Fax

(904) 354-2122

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles P Adams Jr., M.D

Title

Physician

Phone

(904) 354-2114

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1609897800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 RIVERSIDE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044123",
            "telephone_number": "904-354-2114",
            "fax_number": "904-354-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 RIVERSIDE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044123",
            "telephone_number": "904-354-2114",
            "fax_number": "904-354-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES P. ADAMS JR. MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "904-354-2114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0045165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "15929",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles C Greene MD PHD PA
• Charles C Greene, MD, PHD
• Charles M Edwards Jr DMD PA
• Charles M Edwards Jr DMD PA
• Charles N. Howell, Jr. PA
• Charles P. Adams Jr., MD PA
• Charles R Snyder MD PA
• Brandee Lee Charles, CCC-SLP
• Coralie Laroche Charles, PHARM.D
• Erica Charles

• Specialist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.