Active NPI
Anthony Elkins, D.O.
- Family Medicine Physician
- Mooresville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 200200517
- Practice address
- 114 Gateway Blvd Ste B
Mooresville, NC 28117-5598 - Phone
- (980) 435-0406
- Fax
- (980) 435-0409
- NPI assigned
- Feb 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 200200517 | NC | Primary |
Addresses
Primary practice location
114 Gateway Blvd Ste B
Mooresville, NC 28117-5598
Mailing address
PO Box 896199
Charlotte, NC 28289-0447
Phone (833) 936-1364
Other practice location 1
8420 University Exec Park Dr Ste 850
Charlotte, NC 28262-1308
Phone (704) 384-1225
Other practice location 2
8420 University Exec Park Dr
Suite 850
Charlotte, NC 28262-3381
Phone (704) 316-1750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- Family Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
114 Gateway Blvd
Suite B
Mooresville, NC 28117-5598
Phone (980) 435-0406
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200200517 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iredell Physician Network LLC | Current | Accepting new patients | |
| Iredell Physician Network LLC | Current | Accepting new patients |
Locations
114 Gateway Blvd
Ste B
Mooresville, NC 28117
Phone (704) 658-0720
766 Hartness Rd
Statesville, NC 28677
Phone (704) 838-2182
Interoperability endpoints
- anthony.elkins@iredell.cernerdirect.com
Organizations & group practices 2
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.
-
- General Practice Physician
- Statesville, NC
- NPI 1811381593
-
dba Iredell Ear, Nose and Throat
- Otolaryngology Physician
- Statesville, NC
- NPI 1447063920
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Statesville, NC
- NPI 1417944224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647475200000",
"number": "1669445847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 896199",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282890447",
"telephone_number": "833-936-1364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 GATEWAY BLVD STE B",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281175598",
"telephone_number": "980-435-0406",
"fax_number": "980-435-0409"
}
],
"practiceLocations": [
{
"address_1": "8420 University Exec Park Dr Ste 850",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282621308",
"country_code": "US",
"telephone_number": "704-384-1225",
"fax_number": "704-384-1226",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8420 University Exec Park Dr",
"address_2": "Suite 850",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282623381",
"country_code": "US",
"telephone_number": "704-316-1750",
"fax_number": "704-316-1755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELKINS",
"first_name": "ANTHONY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "200200517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.