Elg Learning Group, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

ELG LEARNING GROUP, LLC

Practice address

241 Woodcote Dr
Gaston, SC 29053-8479

Phone

(803) 397-6902

NPI assigned

Oct 27, 2023

Last updated

Oct 27, 2023By 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

Joanna WallaceNPI 1760989537

Title

Co-Owner

Phone

(803) 397-6902

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Joanna Wallace

  • Early Intervention Provider Agency
  • Gaston, SC
  • NPI 1760989537
  NPD Authorized official

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1164294690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 812",
            "city": "GASTON",
            "state": "SC",
            "postal_code": "290530812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 WOODCOTE DR",
            "city": "GASTON",
            "state": "SC",
            "postal_code": "290538479",
            "telephone_number": "803-397-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELG LEARNING GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "803-397-6902"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Cunningham, CD
• Carla Daniels, LSW
• Charles E Davis, RPH, DPH, MD
• Katasha Davis
• Sandy Drawdy
• Empire Mobile Lab
• Fresenius Medical Care Cna Kidney Centers, LLC (Fresenius Kidney Care Gaston)
• Gaston Health Associates (Gaston Family Pharmacy)
• Gaston Health Associates Inc (Gaston Family Pharmacy)
• Lynne Carol Goudlock, LPN

• Early Intervention Provider Agency in Gaston, SC
• Providers in Gaston, SC by specialty
• Early Intervention Provider Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.