DR. CHARLES PULLIAM ADAMS JR. M.D
NPI 1710917950
Specialist in Jacksonville, FL

Active since July 04, 2006
1034 RIVERSIDE AVE, JACKSONVILLE, FL 32204(904) 354-2114(904) 354-2122 Get Directions Write a Review

NPPES record last updated: July 21, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Charles Pulliam Adams Jr. M.d NPPES

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

DR. CHARLES PULLIAM ADAMS JR. M.D (NPI 1710917950) is an individual specialist in Jacksonville, Florida, licensed in Florida (ME0045165) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1710917950
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. CHARLES PULLIAM ADAMS JR.Credential: M.D
Location Address1034 RIVERSIDE AVEJacksonville, FL 32204-4123
Mailing Address1034 Riverside AveJacksonville, FL 32204-4123 · (904) 354-2114 · Fax (904) 354-2122
Fax(904) 354-2122
Sole ProprietorYes
Enumeration DateJuly 4, 2006
Last NPPES UpdateJuly 21, 2015
NPI 1710917950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in FL · ME0045165
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1034 RIVERSIDE AVE, Jacksonville, FL 32204

Other Identifiers 5

Medicare PIN15929FL
Medicaid00963608AGA
Medicaid041611800FL
Medicare UPIND61834FL
Other15929FL · Bcbs

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.

Specialist
1034 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Specialist
1034 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Ophthalmology
1034 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Ophthalmology
1034 RIVERSIDE AVE
JACKSONVILLE, FL 32204

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 Adams's NPI number?

The NPI number for Charles Adams is 1710917950. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Charles Adams located?

Charles Adams practices at 1034 Riverside Ave, Jacksonville, FL 32204. The listed phone number is (904) 354-2114.

What is Charles Adams's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Charles Adams was last updated on July 21, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.