Mobolanle Asope Elder, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

56363 Issued in KY

Practice address

196 Bevins LN Ste F
Georgetown, KY 40324-8534

Phone

(502) 863-2818

Fax

(502) 863-2764

NPI assigned

May 15, 2019

Last updated

Jan 28, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mobolanle.elder.1@19475.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cumberland Family Medical Center Inc

  dba Cumberland Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Burkesville, KY
  • NPI 1306873500
  Medicare reassignment NPD
• Kentucky Mso LLC

  dba Gastroenterology and Hepatology of the Bluegrass

  • Gastroenterology Physician
  • Georgetown, KY
  • NPI 1164867883
  Medicare reassignment NPD
• Cumberland Family Medical Center Inc

  dba Metcalfe County Middle Healthy Kids Clinic

  • Federally Qualified Health Center (FQHC)
  • Edmonton, KY
  • NPI 1548953672
  NPD
• Cumberland Family Medical Center Inc

  dba Hardin Early College & Career Healthy Kids Clinic

  • Federally Qualified Health Center (FQHC)
  • Elizabethtown, KY
  • NPI 1962967737
  NPD
• Kentucky Mso LLC

  • Surgery Physician
  • Georgetown, KY
  • NPI 1508101460
  NPD
• Kentucky Mso LLC

  dba Centerpoint Family Medicine - Lawrenceburg

  • Rural Health Clinic/Center
  • Lawrenceburg, KY
  • NPI 1922860758
  NPD
• Kentucky Mso LLC

  dba Versailles General Surgery

  • Surgery Physician
  • Versailles, KY
  • NPI 1841570363
  NPD (past)

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1245896224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 BEVINS LN STE F",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248534",
            "telephone_number": "502-863-2818",
            "fax_number": "502-863-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 BEVINS LN STE F",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248534",
            "telephone_number": "502-863-2818",
            "fax_number": "502-863-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDER",
        "first_name": "MOBOLANLE",
        "middle_name": "ASOPE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "56363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100744080",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ear Nose and Throat Specialists PLLC
• Samantha Eddington
• Deshay'Nia Nichole Edwards, RBT
• Taylor Grace Edwards
• Ashley Erin Elam, RN, DOULA
• Elkhorn Dermatology PLLC
• Lauren R Elliott, OT
• Marissa Renee Emery, DMD
• Alexandra Blaine Epley, APRN
• Amanda Grace Estep, MD

• Pediatrics Physician in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.