DR. CHARLES EDWARD ADAMS IV DO
NPI 1689422040
Student in an Organized Health Care Education/Training Program in Warren, MI

Q: What is Charles Adams's NPI number?

The NPI number for Charles Adams is 1689422040. It was assigned to this individual provider in the NPPES registry on May 10, 2024.

Q: What is Charles Adams's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charles Adams was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 10, 2024PECOS Enrolled

11800 E 12 MILE RD, WARREN, MI 48093(586) 573-5059(586) 573-5855 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Charles Edward Adams Iv Do NPPES

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

DR. CHARLES EDWARD ADAMS IV DO (NPI 1689422040) is an individual student in an organized health care education/training program in Warren, Michigan and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689422040

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. CHARLES EDWARD ADAMS IVCredential: DO

Location Address11800 E 12 MILE RDWarren, MI 48093-3472

Mailing Address8209 Pimbrook LnKnoxville, TN 37923-6756 · (865) 356-0807

Phone(586) 573-5059

Fax(586) 573-5855

Sole ProprietorYes

Enumeration DateMay 10, 2024

NPPES CertifiedMay 10, 2024

✔ NPI 1689422040 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

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.

11800 E 12 MILE RD, Warren, MI 48093

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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)

Dr. Charles Edward Adams Iv Do 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 20

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

DR. MICHEAL BUGGIA M.D.

Emergency Medicine