Active NPI
Stephen Eric Erlandson, MD
- Family Medicine Physician
- Elkin, NC
National Provider Identifier
1043290331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20540
- Practice address
- 600 Chatham Medical Park
Elkin, NC 28621-2482 - Phone
- (336) 835-4819
- Fax
- (336) 835-6934
- NPI assigned
- Jan 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20540 | NC | Primary |
Addresses
Primary practice location
600 Chatham Medical Park
Elkin, NC 28621-2482
Mailing address
600 Chatham Medical Park
Elkin, NC 28621-2482
Phone (336) 835-4819
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8930755 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041210000521 | NC | Practitioner - Family Practice | 8527025600 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
948 Johnson Ridge Rd
Elkin, NC 28621-2212
Phone (336) 835-1467
Hospital & facility affiliations
- Hugh Chatham Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20540 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Clinic of Yadkin Valley | Current | Accepting new patients | |
| Sparta Emergency Physicians LLC | Past | Accepting new patients | |
| Emcare Physician Providers, Inc. | Past | Accepting new patients | |
| Alleghany Memorial Hospital | Past | Accepting new patients |
Locations
948 Johnson Ridge Rd
Elkin, NC 28621
Phone (336) 835-1467
Interoperability endpoints
- stephen.erlandson.1@1721.direct.athenahealth.com
- stephen.erlandson@515312773038084.direct.elationemr.com
- https://api.platform.athenahealth.com/1721/brand/1/csg/1/fhir/r4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Sparta, NC
- NPI 1992838593
-
- Emergency Medicine Physician
- Sparta, NC
- NPI 1750330387
-
- Emergency Medicine Physician
- Sparta, NC
- NPI 1679796387
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305590400000",
"number": "1043290331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 CHATHAM MEDICAL PARK",
"city": "ELKIN",
"state": "NC",
"postal_code": "286212482",
"telephone_number": "336-835-4819",
"fax_number": "336-835-6934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 CHATHAM MEDICAL PARK",
"city": "ELKIN",
"state": "NC",
"postal_code": "286212482",
"telephone_number": "336-835-4819",
"fax_number": "336-835-6934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERLANDSON",
"first_name": "STEPHEN",
"middle_name": "ERIC",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2011-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "20540",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8930755",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkin, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.