Provider Demographics
NPI:1457670606
Name:ELFERSY, ADRIAN JAY (MD)
Entity Type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:JAY
Last Name:ELFERSY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 CORPORATE CIR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28147-8074
Mailing Address - Country:US
Mailing Address - Phone:704-637-0158
Mailing Address - Fax:704-637-7710
Practice Address - Street 1:6035 FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-3256
Practice Address - Country:US
Practice Address - Phone:704-295-3000
Practice Address - Fax:704-295-3468
Is Sole Proprietor?:No
Enumeration Date:2010-05-27
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301 096 311207W00000X
NC2016-00660207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1246202OtherWELLCARE
NCNCU116AOtherMEDICARE
NC19JTTOtherBCBS
NCP01772262OtherMEDICARE RAILROAD
SCQ0066QMedicaid