MR. PAUL ODAK ADHOLLA MD
NPI 1225019797
Pediatrics in Fayetteville, NC

Active since November 10, 2005
1520 OWEN PARK LN, FAYETTEVILLE, NC 28304(910) 860-3500(910) 485-3507 Get Directions Write a Review

NPPES record last updated: April 27, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Paul Odak Adholla Md NPPES

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

MR. PAUL ODAK ADHOLLA MD (NPI 1225019797) is an individual pediatrics provider in Fayetteville, North Carolina, licensed in North Carolina (9500293) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1225019797
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMR. PAUL ODAK ADHOLLACredential: MD
Location Address1520 OWEN PARK LNFayetteville, NC 28304
Mailing AddressPo Box 40606Fayetteville, NC 28309-0606 · (910) 860-3500 · Fax (910) 485-3507
Fax(910) 485-3507
Sole ProprietorYes
Enumeration DateNovember 10, 2005
Last NPPES UpdateApril 27, 2017
NPI 1225019797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NC · 9500293
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1520 OWEN PARK LN, Fayetteville, NC 28304

Other Identifiers 3

Medicare PIN2265799ANC
Medicare UPING85918
Medicaid8911931NC

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Pediatrics
1520 OWEN PARK LN
FAYETTEVILLE, NC 28304
Pediatrics
1520 OWEN PARK LN
FAYETTEVILLE, NC 28304

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 Paul Adholla's NPI number?

The NPI number for Paul Adholla is 1225019797. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Paul Adholla located?

Paul Adholla practices at 1520 Owen Park Ln, Fayetteville, NC 28304. The listed phone number is (910) 860-3500.

What is Paul Adholla's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Paul Adholla accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare list Paul Adholla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Adholla was last updated on April 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.