Charles R. Adcock, MDPC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD011688 Issued in TN

Legal business name

CHARLES R. ADCOCK, MDPC

Practice address

520 E 12TH St
South Pittsburg, TN 37380-1633

Phone

(423) 837-7144

Fax

(423) 837-8428

NPI assigned

Jul 30, 2007

Last updated

Jan 28, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Terry Lea Burrows

Title

Office Manager

Phone

(423) 837-7144

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Martha E Ziegler, MD

  • Family Medicine Physician
  • South Pittsburg, TN
  • NPI 1811940992
  NPD

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1649460213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 12TH ST",
            "city": "SOUTH PITTSBURG",
            "state": "TN",
            "postal_code": "373801633",
            "telephone_number": "423-837-7144",
            "fax_number": "423-837-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E 12TH ST",
            "city": "SOUTH PITTSBURG",
            "state": "TN",
            "postal_code": "373801633",
            "telephone_number": "423-837-7144",
            "fax_number": "423-837-8428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES R. ADCOCK, MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "BURROWS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-837-7144",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD011688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3723335",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "C10664",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rena A Azar, MD PC FPMRS
• Body in Rhythm Physical Therapy and Wellness, LLC
• Taylor Ogden Bolland
• Jason Michael Cates, O.D.
• Adlene Chang
• David Ray Clark IV
• Kassie M. Crabtree, APRN FNP-C
• Crossroads Urgent Care PLLC (Urgent Team)
• Samantha Everhart Dutton, MSW
• Eyear Optical, Inc.

• Family Medicine Physician in South Pittsburg, TN
• Providers in South Pittsburg, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.