Individual provider Active NPI

Erica Chancey Elkin, FNP

  • Family Nurse Practitioner
  • Columbus, MS
National Provider Identifier
1154097152
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ELKI-14F9XY Issued in MS
Practice address
56 Dutch LN
Columbus, MS 39702-5500
Phone
(662) 329-3808
Fax
(662) 329-3873
NPI assigned
Aug 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903867 MS
Family Nurse Practitioner 363LF0000X ELKI-14F9XY MS Primary

Addresses

Primary practice location

56 Dutch LN
Columbus, MS 39702-5500

Mailing address

3600 Bluecutt Rd Ste 1
Columbus, MS 39705-1303
Phone (662) 570-4770

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erica.elkin.1@17762.direct.athenahealth.com Direct Dutch Medical Clinics, Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211021001438 MS Practitioner - Nurse Practitioner 3577951748 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Wound Management Specialists LLCGroup PAC ID 5193056364, 157 clinicians
Healthcare Plus Limited Liability CompanyGroup PAC ID 5698038610, 120 clinicians
Progressive Medical Management of Batesville LLCGroup PAC ID 0345583225, shared by 3 NPIs, 23 clinicians

Practice addresses (Care Compare)

1190 N State St
Jackson, MS 39202-2413
Phone (769) 243-6141

2781 C T Switzer Sr Dr
Suite 100
Biloxi, MS 39531-4535
Phone (769) 243-6141

303 Medical Ctr Dr
Batesville, MS 38606-8608
Phone (662) 578-4357

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ELKI-14F9XYMSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Plus Limited Liability Company CurrentSince Jul 18, 2023 Accepting new patients
Wound Management Specialists, LLC CurrentSince Mar 29, 2022 Accepting new patients
Dutch Medical Clinics, Inc CurrentSince Oct 1, 2021 Accepting new patients
Dutch Medical Clinics, Inc. Family Past Accepting new patients
Winston Medical Clinic LLC PastSince Mar 29, 2022 Accepting new patients

Locations

2781 C T Switzer SR Dr
Ste 100
Biloxi, MS 39531
Phone (228) 207-8632

3654B New Hope Rd
Columbus, MS 39702
Phone (662) 329-1488

3600 Bluecutt Rd
Ste 101
Columbus, MS 39705
Phone (662) 570-4770

3600 Bluecutt Rd
Columbus, MS 39705
Phone (662) 570-4770

56 Dutch Ln
Columbus, MS 39702
Phone (662) 329-3808

778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620

1190 N State St
Ste 2A
Jackson, MS 39202
Phone (601) 292-4292

Interoperability endpoints

  • Direct secure messaging: erica.elkin.1@17762.direct.athenahealth.com

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.

Hospital & facility affiliations 3

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": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1154097152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 BLUECUTT RD STE 1",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051303",
            "telephone_number": "662-570-4770",
            "fax_number": "662-570-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 DUTCH LN",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397025500",
            "telephone_number": "662-329-3808",
            "fax_number": "662-329-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKIN",
        "first_name": "ERICA",
        "middle_name": "CHANCEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903867",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "ELKI-14F9XY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erica.elkin.1@17762.direct.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "Athena Health Direct Address",
            "affiliationName": "Dutch Medical Clinics, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "56 Dutch Ln",
            "city": "Columbus",
            "state": "MS",
            "country_code": "US",
            "postal_code": "397025500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.