Active NPI
Anthony Bertram Elkins, MD
- Internal Medicine Physician
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20816
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208162 | Medicaid | SC |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20816 | SC | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eau Claire Cooperative Health Center, Inc. | Current | Accepting new patients | |
| Eau Claire Cooperative Health Center, Inc. | Internal Medicine | Current | Accepting new patients |
| Eau Claire Cooperative Health Center ,Inc. | Current | 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
- https://api.platform.athenahealth.com/10781/brand/1/csg/1/fhir/r4
- 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.
-
- Federally Qualified Health Center (FQHC)
- Columbia, SC
- NPI 1346249430
Internal Medicine
-
- Federally Qualified Health Center (FQHC)
- Columbia, SC
- NPI 1588375653
-
- Federally Qualified Health Center (FQHC)
- Columbia, SC
- NPI 1467795815
-
- Federally Qualified Health Center (FQHC)
- Winnsboro, SC
- NPI 1003113168
-
- General Practice Dentistry
- Columbia, SC
- NPI 1457740789
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.