Individual provider Active NPI

Anthony Bertram Elkins, MD

  • Internal Medicine Physician
  • Columbia, SC
National Provider Identifier
1629045505
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20816 Issued in SC
Practice address
4605 Monticello Rd
BLDG a, Ste.3
Columbia, SC 29203-4156
Phone
(803) 754-0151
Fax
(803) 691-1778
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 20816 SC
Internal Medicine Physician 207R00000X 20816 SC Primary

Addresses

Primary practice location

4605 Monticello Rd
BLDG a, Ste.3
Columbia, SC 29203-4156

Mailing address

PO Box 3788
Columbia, SC 29230-3788
Phone (803) 733-5969

Other identifiers 1

IdentifierTypeStateIssuer
208162MedicaidSC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060125000915 SC Practitioner - Gastroenterology 2961416276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Arkansas College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eau Claire Cooperative Health Center, Inc.Group PAC ID 3274434220, 45 clinicians

Practice addresses (Care Compare)

1228 Harden St
Columbia, SC 29204-1800

4605 Monticello Rd
Columbia, SC 29203-4156
Phone (803) 714-0266

4605 Monticello Rd B
Columbia, SC 29203-4156
Phone (803) 714-0266

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20816SCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eau Claire Cooperative Health Center, Inc. CurrentSince May 1, 2015 Accepting new patients
Eau Claire Cooperative Health Center, Inc. Internal Medicine Current Accepting new patients
Eau Claire Cooperative Health Center ,Inc. CurrentSince May 1, 2015 Accepting new patients
Eau Claire Cooperative Health Center, Inc Past Accepting new patients
Eau Claire Cooperative Health Center, Inc. Past Accepting new patients

Locations

2117 Gervais St
Columbia, SC 29204
Phone (803) 744-0540

3800 N Main St
Ste B
Columbia, SC 29203
Phone (803) 705-3172

1228 Harden St
Ste A
Columbia, SC 29204
Phone (803) 722-1565

4605 Monticello Rd
Bldg A
Columbia, SC 29203
Phone (803) 252-7001

4605 Monticello Rd
Columbia, SC 29203
Phone (803) 252-7001

4801 Monticello Rd
Columbia, SC 29203
Phone (803) 714-0266

3041 Old Eastover Rd
Eastover, SC 29044
Phone (803) 353-8741

9023 Garners Ferry Rd
Hopkins, SC 29061
Phone (803) 978-1848

2525 Kinard St
Newberry, SC 29108
Phone (803) 276-4860

8063 Edmund Hwy
Pelion, SC 29123
Phone (803) 894-3736

500 N 12th St
West Columbia, SC 29169
Phone (803) 217-0415

407 N Brown St
West Columbia, SC 29169
Phone (803) 722-1352

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10781/brand/1/csg/1/fhir/r4
  • Direct secure messaging: anthony.elkins.1@10781.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1629045505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3788",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292303788",
            "telephone_number": "803-733-5969",
            "fax_number": "803-753-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 MONTICELLO RD",
            "address_2": "BLDG A, STE.3",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292034156",
            "telephone_number": "803-754-0151",
            "fax_number": "803-691-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKINS",
        "first_name": "ANTHONY",
        "middle_name": "BERTRAM",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "20816",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "20816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208162",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.