Individual provider Active NPI

Rachel Ragland Elkins, PA-C

  • Physician Assistant
  • Hoover, AL
National Provider Identifier
1619446754
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.1403 Issued in AL
Practice address
4517 Southlake Pkwy
Hoover, AL 35244-3280
Phone
(205) 985-4111
Fax
(205) 985-4326
NPI assigned
Nov 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA.1403 AL
Physician Assistant 363A00000X PA.1403 AL Primary

Addresses

Primary practice location

4517 Southlake Pkwy
Hoover, AL 35244-3280

Mailing address

4517 Southlake Pkwy
Hoover, AL 35244-3280
Phone (205) 985-4111

Other practice location 1

3686 Grandview Pkwy Ste 430
Birmingham, AL 35243-3404
Phone (205) 605-8180

Other identifiers 1

IdentifierTypeStateIssuer
PA.1403OtherALALBME

Other names 1

  • Rachel Ellis Ragland Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190307001298 AL Practitioner - Physician Assistant 8123367208 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Orthopaedic Alliance PLLCGroup PAC ID 2365800604, 102 clinicians

Practice addresses (Care Compare)

831 Hillcrest Rd
Mobile, AL 36695-4074
Phone (251) 435-2663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1403ALMDInternal Medicine Physician
PA.1403ALMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Orthopaedic Alliance, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Southlake Orthopaedics Sports Medicine & Spine Center PC Physician Assistant CurrentSince Jan 1, 2019 Accepting new patients
Southern Orthopaedic Alliance PLLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

3686 Grandview Pkwy
Ste 430
Birmingham, AL 35243
Phone (205) 605-8180

4517 Southlake Pkwy
Hoover, AL 35244
Phone (205) 329-7585

4517 Southlake Pkwy
Ste 202
Hoover, AL 35244
Phone (205) 985-4111

831 Hillcrest Rd
Mobile, AL 36695
Phone (251) 633-4949

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.

NPI Registry JSON

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1619446754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4517 SOUTHLAKE PKWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443280",
            "telephone_number": "205-985-4111",
            "fax_number": "205-985-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4517 SOUTHLAKE PKWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443280",
            "telephone_number": "205-985-4111",
            "fax_number": "205-985-4326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3686 Grandview Pkwy Ste 430",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352433404",
            "country_code": "US",
            "telephone_number": "205-605-8180",
            "fax_number": "205-972-8785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELKINS",
        "first_name": "RACHEL",
        "middle_name": "RAGLAND",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA.1403",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.1403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALBME",
            "identifier": "PA.1403",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "RAGLAND",
            "middle_name": "ELLIS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.