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ADAM CARLTON VOLLBERG MD
NPI 1023699717
Student in an Organized Health Care Education/Training Program in Chattanooga, TN

Active since April 15, 2021PECOS Enrolled
975 E 3RD ST # 112, CHATTANOOGA, TN 37403(423) 778-7817 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Adam Carlton Vollberg Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADAM CARLTON VOLLBERG MD (NPI 1023699717) is an individual student in an organized health care education/training program in Chattanooga, Tennessee, licensed in Tennessee (117678351) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023699717
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameADAM CARLTON VOLLBERGCredential: MD
Location Address975 E 3RD ST # 112Chattanooga, TN 37403-2147
Mailing Address975 E 3rd St # 112Chattanooga, TN 37403-2147
Phone(423) 778-7817
Sole ProprietorYes
Enumeration DateApril 15, 2021
NPPES CertifiedApril 12, 2021
✔ NPI 1023699717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in TN · 117678351
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
975 E 3RD ST # 112, Chattanooga, TN 37403
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adam Carlton Vollberg Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTORIA RAE CZARUK DO
Student in an Organized Health Care Education/Training Program
975 E 3RD ST # 112
CHATTANOOGA, TN 37403
Hamilton County (423) 778-7817
SKYELOR BLACK
Student in an Organized Health Care Education/Training Program
975 E 3RD ST # 112
CHATTANOOGA, TN 37403
Hamilton County (423) 778-7817
TIMOTHY HOUSTON MULLICAN DO
Hospitalist
975 E 3RD ST # 112
CHATTANOOGA, TN 37403
Hamilton County (423) 778-2998
DR. JAMES ROBERT LANEY MD
Student in an Organized Health Care Education/Training Program
975 E 3RD ST # 112
CHATTANOOGA, TN 37403
Hamilton County (423) 778-7817
KAITLIN NICOLE DETMAR
Student in an Organized Health Care Education/Training Program
975 E 3RD ST # 112
CHATTANOOGA, TN 37403
Hamilton County (423) 778-7817
KAITLYN WRIGHT
Student in an Organized Health Care Education/Training Program
975 E 3RD ST # 112
CHATTANOOGA, TN 37403
Hamilton County (423) 778-8179
REBECCA MANNING
Student in an Organized Health Care Education/Training Program
975 E 3RD ST # 112
CHATTANOOGA, TN 37403
Hamilton County (423) 778-8179
ERIC SASSE MD
Student in an Organized Health Care Education/Training Program
975 E 3RD ST # 112
CHATTANOOGA, TN 37403
Hamilton County (423) 778-7817

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adam Vollberg's NPI number?

The NPI number for Adam Vollberg is 1023699717. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Where is Adam Vollberg located?

Adam Vollberg practices at 975 E 3rd St # 112, Chattanooga, TN 37403. The listed phone number is (423) 778-7817.

What is Adam Vollberg's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Adam Vollberg enrolled in Medicare?

Yes. Adam Vollberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adam Vollberg was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.