Healthcare Provider Details

I. General information

NPI: 1689652893
Provider Name (Legal Business Name): CARLTON ZELLIOT ADAMS JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2006
Last Update Date: 10/04/2026
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 WALLACE RD
NASHVILLE TN
37211-4883
US

IV. Provider business mailing address

555 MARRIOTT DR STE 315
NASHVILLE TN
37214-5088
US

V. Phone/Fax

Practice location:
  • Phone: 615-497-2458
  • Fax: 615-296-4444
Mailing address:
  • Phone: 615-497-2458
  • Fax: 615-296-4444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number18775
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number18775
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number18775
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number18775
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: