Individual provider Active NPI

Elaine Crone Renick, DO

  • Family Medicine Physician
  • Vinton, VA
National Provider Identifier
1497245351
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102206503 Issued in VA
Practice address
415 S Pollard St
Vinton, VA 24179-2502
Phone
(540) 983-6700
NPI assigned
May 16, 2018
Last updated
May 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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 LL51963 SC
Family Medicine Physician 207Q00000X 0102206503 VA Primary

Addresses

Primary practice location

415 S Pollard St
Vinton, VA 24179-2502

Mailing address

Family Medicine Center
3209 Colonial Drive
Columbia, SC 29203
Phone (803) 434-6113

Other practice location 1

Family Medicine Center
3209 Colonial Drive
Columbia, SC 29203
Phone (803) 434-6113

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ecrone94118@direct.carilionclinic.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20210916000566 VA Practitioner - Family Practice 2466888201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians

Practice addresses (Care Compare)

415 S Pollard St
Carilion Family Medicine Parkway Physicians
Vinton, VA 24179-2502
Phone (540) 983-6700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102206503VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Healthcare Corporation CurrentSince Aug 1, 2021 Accepting new patients
Carilion Healthcare Corporation CurrentSince Aug 1, 2021 Accepting new patients

Locations

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

415 S Pollard St
Vinton, VA 24179
Phone (540) 938-6700

Interoperability endpoints

  • Direct secure messaging: ecrone94118@direct.carilionclinic.org

Organizations & group practices 2

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 6

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": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1497245351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FAMILY MEDICINE CENTER",
            "address_2": "3209 COLONIAL DRIVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-434-6113",
            "fax_number": "803-434-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S POLLARD ST",
            "city": "VINTON",
            "state": "VA",
            "postal_code": "241792502",
            "telephone_number": "540-983-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Family Medicine Center",
            "address_2": "3209 Colonial Drive",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "29203",
            "country_code": "US",
            "telephone_number": "803-434-6113",
            "fax_number": "803-434-8478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENICK",
        "first_name": "ELAINE",
        "middle_name": "CRONE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "LL51963",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102206503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ecrone94118@direct.carilionclinic.org",
            "affiliation": "N",
            "address_1": "415 S Pollard St",
            "city": "Vinton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "241792502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vinton, VA

Sources for this page

Verify at the official NPI Registry.