Active NPI
Jeffrey Wayne Elder, MD
- Gynecologic Oncology Physician
- Greenville, SC
National Provider Identifier
1457569923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 35696
- Practice address
- 900 W Faris Rd
Greenville, SC 29605-4255 - Phone
- (864) 679-3900
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | 43517 | KY | |
| Gynecologic Oncology Physician | 207VX0201X | 35696 | SC | Primary |
Addresses
Primary practice location
900 W Faris Rd
Greenville, SC 29605-4255
Mailing address
1 Independence PT Ste 212
Greenville, SC 29615-4536
Phone (864) 797-6303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 356965 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131001000368 | SC | Practitioner - Gynecological Oncology | 0547310013 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Gynecological Oncology
- Education
- Mercer University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
900 W Faris Rd
Suite 3
Greenville, SC 29605-4255
Phone (864) 455-1200
Hospital & facility affiliations
- Prisma Health Greenville Memorial Hospital
- Prisma Health Oconee Memorial Hospital
- Prisma Health Patewood Hospital
- Anmed Health
- Prisma Health Greer Memorial Hospital
- Prisma Health North Greenville Ltach
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of the uterus | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43517 | KY | MD | Gynecologic Oncology Physician |
| 35696 | SC | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health-Upstate | Past | Accepting new patients |
Locations
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306
900 W Faris Rd
#3
Greenville, SC 29605
Phone (864) 455-1200
900 W Faris Rd
Greenville, SC 29605
Phone (864) 455-6743
2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761
701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030
131 Lila Doyle Dr
Seneca, SC 29672
Phone (864) 886-1911
Interoperability endpoints
- jelder5068@direct.ghs.myhfn.org
Organizations & group practices 3
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.
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1649726738
Hospital & facility affiliations 53
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medically Fragile Infants and Children Day Care
- Greenville, SC
- NPI 1093168064
Hospital
-
- Sleep Disorder Diagnostic Clinic/Center
- Greenville, SC
- NPI 1275086431
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519257600000",
"number": "1457569923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 INDEPENDENCE PT STE 212",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154536",
"telephone_number": "864-797-6303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 W FARIS RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054255",
"telephone_number": "864-679-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDER",
"first_name": "JEFFREY",
"middle_name": "WAYNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2018-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "KY",
"license": "43517",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "SC",
"license": "35696",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "356965",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.