CHARLES RUSSELL ADCOCK MD NPI 1669445532

NPI Information

  • NPI: 1669445532
  • Provider Name: CHARLES RUSSELL ADCOCK, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 520 E 12TH ST
    SOUTH PITTSBURG, TN
    ZIP 37380
  • Phone: (423) 837-7144

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NPI Details

Charles Russell Adcock, MD is a family medicine in South Pittsburg, TN. The provider is 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. Charles Russell Adcock, MD NPI is 1669445532. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

520 E 12TH ST
SOUTH PITTSBURG, TN
ZIP 37380-633
Phone: (423) 837-7144
Fax: (423) 837-8428

The enumeration date for this NPI number is 2/9/2006 and was last updated on 1/28/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMD011688TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10010013492OTHERTENNESSEEMEDICARE RAILROAD
23723335MEDICAIDTENNESSEE
3B03818MEDICARE UPINTENNESSEE
43178574 / 3723335MEDICARE ID-TYPE UNSPECIFIEDTENNESSEEINDIVIDUAL / GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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