Provider Demographics
NPI:1992787501
Name:CARTER ADKINS, DANIELLE MARGUERITE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:MARGUERITE
Last Name:CARTER ADKINS
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:336-766-6473
Mailing Address - Fax:336-766-8909
Practice Address - Street 1:6301 STADIUM DR STE 500
Practice Address - Street 2:
Practice Address - City:CLEMMONS
Practice Address - State:NC
Practice Address - Zip Code:27012-8766
Practice Address - Country:US
Practice Address - Phone:336-766-6473
Practice Address - Fax:336-766-8909
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC103826363AM0700X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC103826OtherMEDICAL LICENSE NUMBER
NC2759429DMedicare PIN
NC103826OtherMEDICAL LICENSE NUMBER
NC2759429FMedicare PIN
2759429CMedicare PIN
NC2759429BMedicare PIN
NCQ04380Medicare UPIN