Individual provider Active NPI

John Nichols Elgin, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Alexander City, AL
National Provider Identifier
1306866199
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
18422 Issued in AL
Practice address
3316 Highway 280
Alexander City, AL 35010-3369
Phone
(256) 329-7295
Fax
(256) 329-7186
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 18422 AL Primary

Addresses

Primary practice location

3316 Highway 280
Alexander City, AL 35010-3369

Mailing address

987 Smith Mountain Dr
Jacksons Gap, AL 36861-2540
Phone (256) 329-7295

Other identifiers 2

IdentifierTypeStateIssuer
00076882MedicaidAL
51076882OtherALBLUE CROSS PROVIDER NUMBE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110118000018 AL Practitioner - PathologyPractitioner - Hematology/Oncology 2466641840 Reassigns benefits to 1 organization
I20110118000069 GA Practitioner - Pathology 2466641840 Reassigns benefits to 1 organization
I20240607000491 TX Practitioner - Pathology 2466641840 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
USA Pathology PLLCGroup PAC ID 4183873003, 6 clinicians

Practice addresses (Care Compare)

305 N Highland Ave
Sherman, TX 75092-7349
Phone (903) 328-2029

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18422ALMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
USA Pathology PLLC Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2025 Accepting new patients
Russell Hospital Corporation CurrentSince Jun 15, 1998 Accepting new patients
Gulf Coast Pathology Program PLLC Anatomic Pathology & Clinical Pathology CurrentSince Apr 1, 2024 Accepting new patients
Integrated Regional Laboratories Pathology Services, LLC Anatomic Pathology & Clinical Pathology CurrentSince Feb 18, 2024 Accepting new patients
USA Pathology PLLC Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2025 Accepting new patients
Westwater Diagnostics PLLC Anatomic Pathology & Clinical Pathology Current Accepting new patients
Russell Hospital Corporation CurrentSince Jun 15, 1998 Accepting new patients
Russell Hospital Corporation Current Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Gulf Coast Pathology Program PLLC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

3316 Highway 280
Alexander City, AL 35010
Phone (256) 329-7100

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

5052 W 4th St
#3
Hattiesburg, MS 39402
Phone (601) 261-2587

5050 Highway 17 Byp S
Myrtle Beach, SC 29588
Phone (843) 449-6521

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500

5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637

1900 Hospital Blvd
Gainesville, TX 76240
Phone (940) 612-8150

101 E Ridge Rd
McAllen, TX 78503
Phone (956) 632-6000

500 N Highland Ave
Sherman, TX 75092
Phone (903) 870-4494

305 N Highland Ave
Sherman, TX 75092
Phone (903) 328-2029

11104 W Airport Blvd
Ste 206
Stafford, TX 77477
Phone (601) 261-2587

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

Organizations & group practices 10

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 5

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306866199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 SMITH MOUNTAIN DR",
            "city": "JACKSONS GAP",
            "state": "AL",
            "postal_code": "368612540",
            "telephone_number": "256-329-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 HIGHWAY 280",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103369",
            "telephone_number": "256-329-7295",
            "fax_number": "256-329-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGIN",
        "first_name": "JOHN",
        "middle_name": "NICHOLS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AL",
            "license": "18422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00076882",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "51076882",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexander City, AL

Sources for this page

Verify at the official NPI Registry.