Healthcare Provider Details

I. General information

NPI: 1780948620
Provider Name (Legal Business Name): ADAM CHRISTOPHER CELIO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2012
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2153 VALLEYGATE DR
FAYETTEVILLE NC
28304-3681
US

IV. Provider business mailing address

1824 KING ST STE 200
JACKSONVILLE FL
32204-4736
US

V. Phone/Fax

Practice location:
  • Phone: 910-672-0350
  • Fax: 910-672-0355
Mailing address:
  • Phone: 904-384-3343
  • Fax: 904-400-6671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number2019-02185
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberME161390
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number2019-02185
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number2019-02185
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: