Healthcare Provider Details

I. General information

NPI: 1417272576
Provider Name (Legal Business Name): ADAM DANIEL SINGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2010
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 EXECUTIVE PARK S SUITE 4009
ATLANTA GA
30329-2208
US

IV. Provider business mailing address

1441 CORTEZ LN NE
BROOKHAVEN GA
30319-3909
US

V. Phone/Fax

Practice location:
  • Phone: 770-842-5295
  • Fax:
Mailing address:
  • Phone: 770-842-5295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number331018
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberTRN16512
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number73654
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: