Individual provider Active NPI

Gary Elkin, M.D.

  • Interventional Cardiology Physician
  • Savannah, GA
National Provider Identifier
1114990678
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
052714 Issued in GA
Practice address
11700 Mercy Blvd
Plaza D
Savannah, GA 31419-1753
Phone
(912) 961-8647
Fax
(912) 927-5016
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 052714 GA Primary

Addresses

Primary practice location

11700 Mercy Blvd
Plaza D
Savannah, GA 31419-1753

Mailing address

11700 Mercy Blvd
Plaza D
Savannah, GA 31419-1753
Phone (912) 961-8647

Other identifiers 2

IdentifierTypeStateIssuer
602007313AMedicaidGA
P00022900OtherGAMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20080611000807 GA Practitioner - Cardiovascular Disease (Cardiology) 3072619600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
State University of New York at Buffalo School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Joseph'S Cardiology Group LLCGroup PAC ID 3274770227, 17 clinicians

Practice addresses (Care Compare)

11700 Mercy Blvd
Savannah, GA 31419-1753
Phone (912) 927-3434

11705 Mercy Blvd
Savannah, GA 31419-1711
Phone (843) 379-0220

462 E G Miles Pkwy
Hinesville, GA 31313-4000
Phone (912) 927-3434

5353 Reynolds St
Savannah, GA 31405-6015
Phone (843) 379-0220

602 E Long St
Suite a
Claxton, GA 30417-5914
Phone (912) 927-3434

802 Towne Park Dr
Suite 400
Rincon, GA 31326-5151
Phone (912) 927-3434

Hospital & facility affiliations

  • St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043
  • Evans Memorial Hospital Hospital, Claxton, GA, CCN 110142
  • Candler Hospital Hospital, Savannah, GA, CCN 110024
  • Liberty Regional Medical Center Hospital, Hinesville, GA, CCN 111335

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Cardiology Group, LLC Interventional Cardiology CurrentSince Aug 1, 2015 Accepting new patients
Neurological & Sleep Disorders Inc Past Accepting new patients
Ohio Heart and Vascular Center, Inc Past Accepting new patients
University Internal Medicine Associates, Inc. Interventional Cardiology Past Accepting new patients

Locations

604B E Long St
Claxton, GA 30417
Phone (912) 355-2335

600 E Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 264-9999

462 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (888) 829-0068

101 Saint Josephs Candler Dr
Ste 230
Pooler, GA 31322

802 Towne Park Dr
Ste 400
Rincon, GA 31326
Phone (912) 681-8000

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

11700 Mercy Blvd
#D
Savannah, GA 31419
Phone (912) 920-8898

11700 Mercy Blvd
Ste 6
Savannah, GA 31419
Phone (912) 961-8647

11700 Mercy Blvd
Savannah, GA 31419
Phone (404) 935-9116

11700 Mercy Blvd
Ste B
Savannah, GA 31419
Phone (912) 927-1867

10 Oak Forest Rd
Ste B
Bluffton, SC 29910
Phone (912) 303-0891

Interoperability endpoints

  • Direct secure messaging: garyelkin@cas.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1114990678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 MERCY BLVD",
            "address_2": "PLAZA D",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191753",
            "telephone_number": "912-961-8647",
            "fax_number": "912-927-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 MERCY BLVD",
            "address_2": "PLAZA D",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191753",
            "telephone_number": "912-961-8647",
            "fax_number": "912-927-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKIN",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "052714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "602007313A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00022900",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.