Elkin Pediatric & Adult Medicine, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ELKIN PEDIATRIC & ADULT MEDICINE, PA

Practice address

124 Samaritans Ridge Rd
Elkin, NC 28621-2452

Phone

(336) 835-7700

Fax

(336) 527-1071

NPI assigned

Jan 24, 2006

Last updated

Apr 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donna G Hutchens

Title

Office Manager

Phone

(336) 835-7700

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lori Josey Barker, FNP

  • Family Nurse Practitioner
  • Elkin, NC
  • NPI 1922547744
  Medicare reassignment Care Compare group NPD
• Alvaro A Castillejo, D.O.

  • Family Medicine Physician
  • Elkin, NC
  • NPI 1356311153
  Medicare reassignment Care Compare group NPD
• Stephen Thomas Walker, M.D.

  • Family Medicine Physician
  • Elkin, NC
  • NPI 1265402572
  Medicare reassignment Care Compare group NPD
• Allison Anne Spagnoletti, P.A.

  • Physician Assistant
  • Elkin, NC
  • NPI 1134199938
  Medicare reassignment Care Compare group
• Lauren F Atkinson, PA

  • Physician Assistant
  • High Point, NC
  • NPI 1619335411
  Medicare reassignment

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1083684898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SAMARITANS RIDGE RD",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212452",
            "telephone_number": "336-835-7700",
            "fax_number": "336-527-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 SAMARITANS RIDGE RD",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212452",
            "telephone_number": "336-835-7700",
            "fax_number": "336-527-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKIN PEDIATRIC & ADULT MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "HUTCHENS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-835-7700"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BDBS NC",
            "identifier": "02170",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902170",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elkin City Schools
• Elkin Dialysis Center of Wake Forest University (Elkin Dialysis Center)
• Elkin Emergency Physicians, PLLC
• Elkin Emergency Rescue Squad, Inc. (Elkin Emergency Rescue Squad)
• Elkin Obstetrics and Gynecology, PLLC
• Elkin Retirement Community, LLC
• Stephen Eric Erlandson, MD
• Charlotte Ann Evans, MD
• Jennifer Lynn Fail Sr.
• Fast Pace Kentucky PLLC (Fast Pace Health)

• Family Medicine Physician in Elkin, NC
• Providers in Elkin, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.