CHARLES RUSSELL ADCOCK MD
NPI 1669445532
Family Medicine in South Pittsburg, TN

Active since February 09, 2006
520 E 12TH ST, SOUTH PITTSBURG, TN 37380(423) 837-7144(423) 837-8428 Get Directions Write a Review

NPPES record last updated: January 28, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Russell Adcock Md NPPES

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

CHARLES RUSSELL ADCOCK MD (NPI 1669445532) is an individual family medicine provider in South Pittsburg, Tennessee, licensed in Tennessee (MD011688) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1669445532
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCHARLES RUSSELL ADCOCKCredential: MD
Location Address520 E 12TH STSouth Pittsburg, TN 37380-1633
Mailing Address520 E 12th StSouth Pittsburg, TN 37380-1633 · (423) 837-7144 · Fax (423) 837-8428
Fax(423) 837-8428
Sole ProprietorNo
Enumeration DateFebruary 9, 2006
Last NPPES UpdateJanuary 28, 2009
NPI 1669445532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TN · MD011688
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
520 E 12TH ST, South Pittsburg, TN 37380

Other Identifiers 4

Other0010013492TN · Medicare Railroad
Medicaid3723335TN
Medicare UPINB03818TN
Medicare ID-Type Unspecified3178574 / 3723335TN · Individual / Group

Other Providers at the Same Location NPPES 4

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

Family Medicine
520 E 12TH ST
SOUTH PITTSBURG, TN 37380
Family Medicine
520 E 12TH ST
SOUTH PITTSBURG, TN 37380
Family Medicine
520 E 12TH ST
SOUTH PITTSBURG, TN 37380
Family Medicine
520 E 12TH ST
SOUTH PITTSBURG, TN 37380

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 Charles Adcock's NPI number?

The NPI number for Charles Adcock is 1669445532. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Charles Adcock located?

Charles Adcock practices at 520 E 12th St, South Pittsburg, TN 37380. The listed phone number is (423) 837-7144.

What is Charles Adcock's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Charles Adcock was last updated on January 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.