Elaine Eustis, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

MD33183 Issued in SC

Practice address

721 Long Point Rd
Ste 407
Mt. Pleasant, SC 29464-8298

Phone

(843) 793-9801

Fax

(843) 936-4972

NPI assigned

Dec 28, 2005

Last updated

Jan 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2022 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1659358976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 LONG POINT RD STE 407",
            "city": "MT. PLEASANT",
            "state": "SC",
            "postal_code": "294648298",
            "telephone_number": "843-793-9801",
            "fax_number": "843-936-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 LONG POINT RD",
            "address_2": "STE 407",
            "city": "MT. PLEASANT",
            "state": "SC",
            "postal_code": "294648298",
            "telephone_number": "843-793-9801",
            "fax_number": "843-936-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUSTIS",
        "first_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2024-01-10",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "SC",
            "license": "MD33183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659358976",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dreustis@menopausesolutions.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "180 Wingo Way Ste 308",
            "city": "Mount Pleasant",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294641812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daylisse Jeniree Estades Quiros
• William Estes
• Amy P Etheridge, RN
• Kimberly T Ethridge, PT
• David M Eulau, O.D.
• Thomas Chadwick Eustis, M.D.
• Maggie Wolman Evans, MD
• Rachael Jo Evans, OTR L CHT
• Scott Chadwick Evans, MD
• Everest Medical Solutions LLC (Everest Medical)

• Gynecology Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Gynecology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.