Individual provider Active NPI

Elijah Colin Paradee, WHNP-BC

  • Women's Health Nurse Practitioner
  • Metter, GA
National Provider Identifier
1619758083
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN267907 Issued in GA
Practice address
10 Doctors St
Metter, GA 30439-3337
Phone
(912) 685-5715
NPI assigned
Oct 11, 2023
Last updated
Oct 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN267907 GA Primary
General Practice Registered Nurse 163WG0000X RN267907 GA

Addresses

Primary practice location

10 Doctors St
Metter, GA 30439-3337

Mailing address

PO Box 597
Metter, GA 30439-0597
Phone (912) 685-1720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20240507003856 GA Practitioner - Nurse Practitioner 3971951773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

PO Box
Metter, GA 30439

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN267907GAMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of Candler County CurrentSince Feb 10, 2024 Accepting new patients
Hospital Authority of Candler County Current Accepting new patients
Hospital Authority of Candler County CurrentSince Feb 10, 2024 Accepting new patients
Hospital Authority of Candler County Past Accepting new patients
Hospital Authority of Candler County Past Accepting new patients

Locations

10 Doctors St
Metter, GA 30439
Phone (912) 685-5715

400 Cedar St
Metter, GA 30439
Phone (912) 685-1726

637 S Lewis St
Metter, GA 30439
Phone (912) 685-1800

Interoperability endpoints

  • Direct secure messaging: elijah.paradee.1@23328.direct.athenahealth.com

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 1

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": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1619758083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 597",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304390597",
            "telephone_number": "912-685-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DOCTORS ST",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304393337",
            "telephone_number": "912-685-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARADEE",
        "first_name": "ELIJAH",
        "middle_name": "COLIN",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN267907",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "GA",
            "license": "RN267907",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metter, GA

Sources for this page

Verify at the official NPI Registry.