NPI 1902576929 · live from the CMS NPI Registry
Taylor Nicole Adam
Physician Assistant in Charleston, SC. National Provider Identifier 1902576929, active.
NPI record
| NPI | 1902576929 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 316 Calhoun St, Charleston, SC 29401 |
| Practice phone | 843-720-8490 |
| Mailing address | Po Box 751649, Charlotte, NC 28275 |
| Enumerated | September 20, 2021 |
| Last updated | June 8, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 6208 (SC) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Physician Assistant | 363A00000X | 11457 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.