Individual provider Active NPI

Eleasa Marie Hulon, MD

  • Physical Medicine & Rehabilitation Physician
  • Greenville, SC
National Provider Identifier
1083107429
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
125073446 Issued in IL
Practice address
701 Grove Rd
Greenville, SC 29605-4210
Phone
(864) 455-7882
NPI assigned
Jun 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X DR.0069837 CO
Pain Medicine Physician 208VP0000X DR.0069837 CO
Interventional Pain Medicine Physician 208VP0014X DR.0069837 CO
Physical Medicine & Rehabilitation Physician 208100000X 125073446 IL Primary

Addresses

Primary practice location

701 Grove Rd
Greenville, SC 29605-4210

Mailing address

701 Grove Rd
Greenville, SC 29605-4210
Phone (864) 455-7882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230711004590 CO Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Pain Management 6709138803 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management, Pain Management
Education
University of South Carolina School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6500 W 104TH Ave
Westminster, CO 80020-4189
Phone (720) 710-5988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125073446ILMDPhysical Medicine & Rehabilitation Physician
DR.0069837COMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Pain Practice, PLLC Current Accepting new patients
Colorado Pain Practice, PLLC Pain Medicine CurrentSince Aug 1, 2023 Accepting new patients
Hulon Medical PLLC Physical Medicine & Rehabilitation Current Accepting new patients
Colorado Pain Practice, LLC CurrentSince Aug 1, 2023 Accepting new patients
Colorado Pain Practice, PLLC Pain Medicine Past Accepting new patients
Illinois Pain Treatment Institute, LTD Pain Medicine PastSince Mar 30, 2025 Accepting new patients

Locations

4348 Woodlands Blvd
Ste 100
Castle Rock, CO 80104
Phone (303) 468-7246

1355 S Colorado Blvd
Ste 700
Denver, CO 80222
Phone (303) 277-0700

2696 S Colorado Blvd
Ste 240
Denver, CO 80222
Phone (210) 213-4444

12596 W Bayaud Ave
Ste 350
Lakewood, CO 80228
Phone (303) 468-7246

6500 W 104th Ave
Westminster, CO 80020
Phone (720) 573-5000

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1083107429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 GROVE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054210",
            "telephone_number": "864-455-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GROVE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054210",
            "telephone_number": "864-455-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULON",
        "first_name": "ELEASA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "DR.0069837",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CO",
            "license": "DR.0069837",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CO",
            "license": "DR.0069837",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "125073446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.