Healthcare Provider Details

I. General information

NPI: 1073183265
Provider Name (Legal Business Name): ADAM JOSEPH KONEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2021
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR
CHAPEL HILL NC
27514-4220
US

IV. Provider business mailing address

101 MANNING DR
CHAPEL HILL NC
27514-4220
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-9646
  • Fax: 984-974-5217
Mailing address:
  • Phone: 984-974-9646
  • Fax: 984-974-5217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number39411
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number2026-01992
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: