DR. CHARLES PULLIAM ADAMS JR.


Address: 1034 Riverside Ave, Jacksonville, FL 32204-4123
Phone: 9043542114

DR. CHARLES PULLIAM ADAMS JR. (NPI# 1710917950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710917950
Entity Type Individual
Full Name DR. CHARLES PULLIAM ADAMS JR.
Credential M.D
Practice Address 1034 Riverside Ave
Jacksonville
FL 32204-4123
Practice Telephone 9043542114
Practice Fax Number 9043542122
Mailing Telephone 9043542114
Mailing Fax Number 9043542122
Enumeration Date 2006-07-04
Last Update Date 2015-07-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist ME0045165 FL Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 00963608A 05
FL 041611800 05
FL BCBS 15929 01

Other Providers CHARLES ADAMS

NPI Name Taxonomy Address Enumeration
1932662038 Charles David Adams Jr. Community Health Worker 16 Porcher Rd, Bluffton, SC 29909-4138 2019-04-08
1689130957 Charles Rex Adams Acupuncturist 5708 Venture Ct, Kalamazoo, MI 49009-2857 2019-02-12
1164842977 Charles Adams Jr. Counselor 3008 N Hartford Ave, Tulsa, OK 74106-2424 2014-04-18
1114280161 Charles David Adams Pharmacist 2585 Jacaranda Ln, Los Osos, CA 93402-4617 2012-06-22
1073707949 Charles R Adams Psychiatry & Neurology 109 N 15th St, Suite 14, Norfolk, NE 68701-3666 2007-09-04
1811037005 Charles D Adams Social Worker 710 Perryville Rd, Harrodsburg, KY 40330 2007-02-07
1982767109 Charles Gregory Adams Dentist 185 Pat Haralson Memorial Dr, Blairsville, GA 30512-3008 2006-12-19
1043240906 Charles Savage Adams Optometrist 1911 Benton Rd, Ste C, Bossier City, LA 71111 2006-07-04
1992732168 Charles D Adams Family Medicine 1813 Sumner St, Aberdeen, WA 98520 2006-06-26
1437192465 Charles C Adams Internal Medicine 4085 Cloud Springs Rd, Ringgold, GA 30736-8411 2006-06-14

Office Location

Street Address 1034 RIVERSIDE AVE
City JACKSONVILLE
State FL
Zip Code 32204-4123

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154805760 Riverside Eye and Laser Specialists, P.a. Specialist 1034 Riverside Ave, Jacksonville, FL 32204-4123 2018-09-19
1760771851 Brittany Ransom Agee Ophthalmology 1034 Riverside Ave, Jacksonville, FL 32204-4123 2011-03-30
1871812016 Charles P. Adams Jr., Md Pa Ophthalmology 1034 Riverside Ave, Jacksonville, FL 32204-4123 2010-05-27
1609897800 Charles P. Adams Jr. Md Pa Specialist 1034 Riverside Ave, Jacksonville, FL 32204-4123 2006-07-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437719853 North Florida Surgeons, Pa Orthopaedic Surgery 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 2019-06-18
1770043531 Manuel Viado Rosas Physical Therapist Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 2019-03-20
1255805172 Tracie Nickole Singh Marriage & Family Therapist 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 2019-01-14
1427548544 Bold City Therapy and Wellness LLC Clinic/Center 2054 Park Street, Jacksonville, FL 32204 2018-05-14
1356883078 Lcn Enterprise, LLC Case Manager/Care Coordinator 1225 W Beaver St Ste 106, Jacksonville, FL 32204 2016-11-11
1073065082 Prosser and Prosser LLC Non-emergency Medical Transport (VAN) 2120 Ernest St, Jacksonville, FL 32204 2016-10-26
1336529817 Nader Daoud Internal Medicine 1 Shircliffway, Jacksonville, FL 32204 2015-06-01
1194119214 Benjamin James Dionne Internal Medicine 2 Shircliff Way Ste 400, Jacksonville, FL 32204 2015-03-26
1598187932 Jamara Stephens Counselor 1225 W Beaver St Ste 205, Jacksonville, FL 32204 2014-01-18
1154743961 Kathleen Jasper Nurse Anesthetist, Certified Registered 2165 Herschel Street, Jacksonville, FL 32204 2014-01-14
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437768033 Coastal Injury Clinic LLC Specialist 2700 Riverside Ave Ste 1, Jacksonville, FL 32205-8233 2020-07-29
1255957643 Rhonda D Smith Roberts Specialist 2754 Sam Hardwick Blvd, Jacksonville, FL 32246-3892 2020-06-22
1437620986 Nicole Azaan Specialist 2301 Indian Dr Apt 29c, Jacksonville, NC 28546-5258 2018-12-10
1598251910 Allionz LLC Specialist 2386 Dunn Ave Ste 109, Jacksonville, FL 32218-4751 2018-07-09
1093236531 Leah F Friedman Specialist 1650 Prudential Dr Ste 102, Jacksonville, FL 32207-8148 2017-07-06
1609301993 Oakleaf Injury and Pain Center LLC Specialist 9526 Argyle Forest Blvd, B-6, Jacksonville, FL 32222-2825 2017-04-25
1982070140 Riverside Spine & Pain Physicians, LLC Specialist 13133 Professional Dr, Suite 200, Jacksonville, FL 32225-7122 2015-08-11
1235525239 Elizabeth Wehr Specialist 319 1st Ave N Apt 1a, Jacksonville, FL 32250-5500 2015-04-07
1053705236 Orthowilmington, Pa Specialist 3382 Henderson Dr, Jacksonville, NC 28546-5230 2015-03-25
1295156941 Southeast Orthopedic Specialists, Inc. Specialist 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256-5004 2013-12-26
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 32204

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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