Organization Active NPI

Elder Medical Consultants

  • Clinic/Center
  • Florence, SC
National Provider Identifier
1023829132
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ELDER MEDICAL CONSULTANTS
Practice address
1413 Madison Ave
Florence, SC 29501-4530
Phone
(843) 260-8582
NPI assigned
Jan 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susan Hayes
Title
Credentialing
Phone
(843) 292-0600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1413 Madison Ave
Florence, SC 29501-4530

Mailing address

1413 Madison Ave
Florence, SC 29501-4530
Phone (843) 260-8582

Other names 1

  • ELDER MEDICAL CONSULTANTS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250411000400 SC Part B Supplier - Clinic/Group Practice 3274057237 Receives reassigned benefits from 1 practitioner
Practice locations: Florence, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1023829132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 MADISON AVE",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014530",
            "telephone_number": "843-260-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 MADISON AVE",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014530",
            "telephone_number": "843-260-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER MEDICAL CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "843-292-0600"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELDER MEDICAL CONSULTANTS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ELDER MEDICAL CONSULTANTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.