Individual provider Active NPI

Elijah Carter, FNP-BC

  • Family Nurse Practitioner
  • Scottsville, KY
National Provider Identifier
1669094918
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3018998 Issued in KY
Practice address
35 Sun Dr
Scottsville, KY 42164-7973
Phone
(615) 388-4138
NPI assigned
May 9, 2020
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 29691 TN
Family Nurse Practitioner 363LF0000X 3018998 KY Primary
Registered Nurse 163W00000X 210485 TN

Addresses

Primary practice location

35 Sun Dr
Scottsville, KY 42164-7973

Mailing address

35 Sun Dr
Scottsville, KY 42164-7973
Phone (615) 388-4138

Other identifiers 1

IdentifierTypeStateIssuer
29691OtherTNSTATE LICENSURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20210728003599 TN Practitioner - Nurse Practitioner 8527461524 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
210485TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sumner Physician Practices CurrentSince Aug 1, 2021 Accepting new patients
Sumner Physician Practices, LLC CurrentSince Aug 1, 2021 Accepting new patients
Sumner Physician Practices LLC Current Accepting new patients
Sumner Physician Practices LLC PastSince Dec 1, 2019 Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

133 Hospital Dr
Ste 500
Carthage, TN 37030
Phone (615) 735-0700

225 Big Station Camp Blvd
Ste 211
Gallatin, TN 37066
Phone (615) 328-3480

300 Steam Plant Rd
Ste 300
Gallatin, TN 37066
Phone (615) 451-9200

204 Medical Dr
Lafayette, TN 37083
Phone (615) 443-7330

Interoperability endpoints

  • Direct secure messaging: elijah.carter.1@24165.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1588982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1669094918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SUN DR",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421647973",
            "telephone_number": "615-388-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 SUN DR",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421647973",
            "telephone_number": "615-388-4138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "ELIJAH",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-09",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29691",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3018998",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "210485",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "29691",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsville, KY

Sources for this page

Verify at the official NPI Registry.