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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ELLIOT SAMUEL ADLER
NPI 1669260683
Physician Assistant in Charlotte, NC

Active since April 29, 2025PECOS EnrolledAccepts Medicare Assignment
4741 RANDOLPH RD STE 100&200, CHARLOTTE, NC 28211(704) 365-6730(704) 365-6731 Get Directions Write a Review

NPPES record last updated: July 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elliot Samuel Adler NPPES

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

ELLIOT SAMUEL ADLER (NPI 1669260683) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-16279) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS, maintains a secondary practice location in Charlotte, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1669260683
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameELLIOT SAMUEL ADLER
Location Address4741 RANDOLPH RD STE 100&200Charlotte, NC 28211-2919
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(704) 365-6730
Fax(704) 365-6731
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateApril 29, 2025
Last NPPES UpdateJuly 3, 2026
NPPES CertifiedJuly 3, 2026
✔ NPI 1669260683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-16279
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4741 RANDOLPH RD STE 100&200, Charlotte, NC 28211
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Secondary Practice Location 1

Location 110105 Whitethorn DrCharlotte, NC 28277-9059 · Phone (704) 577-7902

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elliot Samuel Adler is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355822263
PECOS Enrollment IDI20260227001255
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

EMIL PETER OCCHIBOI PA-C, ATC
Physician Assistant
4741 RANDOLPH RD STE 100&200
CHARLOTTE, NC 28211
Mecklenburg County (704) 365-6730
MR. SHAYAN ROHANI PA-C
Physician Assistant
4741 RANDOLPH RD STE 100&200
CHARLOTTE, NC 28211
Mecklenburg County (704) 365-6730
ANNA LILLIAN HALLOCK PA-C
Physician Assistant
4741 RANDOLPH RD STE 100&200
CHARLOTTE, NC 28211
Mecklenburg County (704) 365-6730
DR. JOHN JOSEPH MARCEL JR. MD
Orthopaedic Surgery
4741 RANDOLPH RD STE 100&200
CHARLOTTE, NC 28211
Mecklenburg County (704) 365-6730
GARRETT KYLE STEIBER PA-C
Physician Assistant
4741 RANDOLPH RD STE 100&200
CHARLOTTE, NC 28211
Mecklenburg County (704) 365-6730

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 Elliot Adler's NPI number?

The NPI number for Elliot Adler is 1669260683. It was assigned to this individual provider in the NPPES registry on April 29, 2025.

Where is Elliot Adler located?

Elliot Adler practices at 4741 Randolph Rd Ste 100&200, Charlotte, NC 28211. The listed phone number is (704) 365-6730.

What is Elliot Adler's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Elliot Adler enrolled in Medicare?

Yes. Elliot Adler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Elliot Adler was last updated on July 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.