NPIMap

Individual provider Active NPI

Reagan Elkins, M.D.

  • Family Medicine Physician
  • Auburn, AL
National Provider Identifier
1366444994
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD54494 Issued in AL
Practice address
1171 Gatewood Dr. BLDG #101
Auburn, AL 36830
Phone
(334) 821-2708
Fax
(334) 528-5420
NPI assigned
Aug 12, 2005
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 025965 LA
Family Medicine Physician 207Q00000X MD54494 AL Primary

Addresses

Primary practice location

1171 Gatewood Dr. BLDG #101
Auburn, AL 36830

Mailing address

1171 Gatewood Dr. BLDG #101
Auburn, AL 36830
Phone (334) 821-2708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050622001084 LA Practitioner - Family Practice 3577508308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6300 Main St
Zachary, LA 70791-4037
Phone (225) 570-2618

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD54494ALMDFamily Medicine Physician
025965LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District 1 of East Baton Rouge Parish CurrentSince Feb 7, 2011 Accepting new patients
Hospital Service District 1 of East Baton Rouge Parish CurrentSince Feb 7, 2011 Accepting new patients
Hospice 2012, LLC Family Medicine Past Accepting new patients
Hospital Service District 1 of East Baton Rouge Parish Past Accepting new patients
Primary Medicine Associates, LLC Family Medicine Past Accepting new patients

Locations

19900 Old Scenic Hwy
Ste E
Zachary, LA 70791
Phone (225) 570-2618

2335 Church St
Zachary, LA 70791
Phone (225) 654-3607

2335 Church St
Ste E
Zachary, LA 70791
Phone (225) 654-3607

6300 Main St
Zachary, LA 70791
Phone (225) 570-2618

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1366444994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 GATEWOOD DR. BLDG #101",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "36830",
            "telephone_number": "334-821-2708",
            "fax_number": "334-528-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 GATEWOOD DR. BLDG #101",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "36830",
            "telephone_number": "334-821-2708",
            "fax_number": "334-528-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKINS",
        "first_name": "REAGAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2026-09-03",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "025965",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD54494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

Verify at the official NPI Registry.