Healthcare Provider Details

I. General information

NPI: 1952871899
Provider Name (Legal Business Name): ADAM CARTER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2018
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8514 SIX FORKS RD STE 102
RALEIGH NC
27615-3254
US

IV. Provider business mailing address

13802 THORNHILL CT
CHESTER VA
23836-5774
US

V. Phone/Fax

Practice location:
  • Phone: 919-465-4427
  • Fax:
Mailing address:
  • Phone: 916-529-8119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number16282
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: