Adrienne Charles Classen, M.D.

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

200401187 Issued in NC

Practice address

3325 Silas Creek Pkwy
Winston Salem, NC 27103-3013

Phone

(336) 713-7429

Fax

(336) 713-7842

NPI assigned

Aug 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kids Count Pediatrics, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elkin, NC
  • NPI 1023252061
  NPD
• Kids Count Pediatrics, PLLC

  • Pediatrics Physician
  • Elkin, NC
  • NPI 1740429844
  NPD
• High Country Community Health

  • Federally Qualified Health Center (FQHC)
  • Elkin, NC
  • NPI 1336606938
  NPD (past)
• Wilkes Pediatric Clinic, PLLC

  • Pediatrics Physician
  • North Wilkesboro, NC
  • NPI 1659487502
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1750495016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIMEL FOREST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036074",
            "telephone_number": "336-716-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 SILAS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033013",
            "telephone_number": "336-713-7429",
            "fax_number": "336-713-7842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271570001",
            "country_code": "US",
            "telephone_number": "336-716-2255",
            "fax_number": "336-716-3202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Roaring Gap Rd",
            "address_purpose": "LOCATION",
            "city": "Thurmond",
            "state": "NC",
            "postal_code": "286839632",
            "country_code": "US",
            "telephone_number": "336-835-7337",
            "fax_number": "336-835-7301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLASSEN",
        "first_name": "ADRIENNE",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "200401187",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200401187",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NC",
            "license": "200401187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadicca Clarke, BSN, RN
• Phillip C Clarke, MS, EDS, NCC, LPC
• Susan Clarke, MB BCH, MSC
• Faith Clary, OT
• Meredith Marie Clary, M.D.
• Tara Judith Claudio-Rivera
• Betsy H Clauser
• Gwendolyn Mary Clay, MD
• Bessie Alycee Clayton, LCASA, LPCA
• Jared Clayton, LCAS-A

• Developmental - Behavioral Pediatrics Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Developmental - Behavioral Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.