Active NPI
Elijah Colin Paradee, WHNP-BC
- Women's Health Nurse Practitioner
- Metter, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RN267907
- Practice address
- 10 Doctors St
Metter, GA 30439-3337 - Phone
- (912) 685-5715
- NPI assigned
- Oct 11, 2023
- Last updated
- Oct 11, 2023
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN267907 | GA | MD | General Practice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Authority of Candler County | Current | Accepting new patients | |
| Hospital Authority of Candler County | Current | Accepting new patients | |
| Hospital Authority of Candler County | Current | 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
- 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.
-
dba Candler County Hospital
- Medicare Defined Swing Bed Hospital Unit
- Metter, GA
- NPI 1588868947
-
dba Pulaski Health & Wellness
- Primary Care Clinic/Center
- Pulaski, GA
- NPI 1316523707
-
dba Candler County Hospital
- Critical Access Hospital
- Metter, GA
- NPI 1790888089
-
dba Candler Medical Group RHC
- Rural Health Clinic/Center
- Metter, GA
- NPI 1790088169
-
dba Candler Family Health Center
- Rural Health Clinic/Center
- Metter, GA
- NPI 1831728005
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Candler County Hospital
- Critical Access Hospital
- Metter, GA
- NPI 1790888089
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.