James Shannon Elliott, M.D.
Individual provider Active NPI Family Medicine Physician · Hardinsburg, KY
NPI 1013919174 · NPPES record last updated Dec 9, 2008
Key facts
- NPI
- 1013919174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 38786 (KY)
- Practice address
- 105 Chambliss Dr
Hardinsburg, KY 40143-2575 - Phone
- (270) 756-2424
- NPI assigned
- Jun 2, 2005
- Reactivated
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Louisville School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Medical Group Inc
Practice addresses (Care Compare)
1111 Ring Rd
Elizabethtown, KY 42701-4900
Phone (270) 706-1111
Hospital & facility affiliations
- Baptist Health Hardin
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050728000922 | KY | Practitioner - Emergency Medicine |
3971531229 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Community Emergency Physicians, PLLC | Past | Accepting new patients |
Locations
1009 N Mulberry St
Elizabethtown, KY 42701
Phone (270) 979-7109
1111 Ring Rd
Elizabethtown, KY 42701
Phone (270) 706-5010
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
1360 Rogersville Rd
Radcliff, KY 40160
Phone (270) 351-1150
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 38786 | KY | Yes |
Addresses
Primary practice location
105 Chambliss Dr
Hardinsburg, KY 40143-2575
Mailing address
105 Chambliss Dr
Hardinsburg, KY 40143-2575
Phone (270) 756-2424
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38786 | Other | KY | LICENSE |
Other providers in Hardinsburg, KY
- Cynthia Lynn Davidson
- Makenna Ann Davis
- Rebecca Lanora Driskell-McCoy
- Melissa Monarch Elder
- Elite Physical Therapy & Fitness, PSC
- River Embry
- Tammie Ervin
- Extendicare Homes, Inc.
- Rachael Ann Gily
- Tara Nikole Hager
All providers in Hardinsburg, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.