Healthcare Provider Details

I. General information

NPI: 1215899810
Provider Name (Legal Business Name): ADEPT BUSINESS MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1087 S CANNON BLVD
KANNAPOLIS NC
28083-5289
US

IV. Provider business mailing address

10828 CLARK ST
DAVIDSON NC
28036-7613
US

V. Phone/Fax

Practice location:
  • Phone: 704-659-3757
  • Fax: 980-342-4126
Mailing address:
  • Phone: 980-565-6465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: EDWARD B SURRATT
Title or Position: PROGRAM DIRECTOR
Credential: NCPSS
Phone: 980-565-6465