Mark P Elam, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

036147 Issued in GA

Practice address

9702 Chestnut Hill LN
Chattanooga, TN 37421-4815

Phone

(706) 226-5446

Fax

(866) 230-8698

NPI assigned

Nov 1, 2006

Last updated

Mar 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Internal MedicineAlso: Geriatric Medicine

Education

University of Tennessee, HSC, College of Medicine, 1986

Medicare assignment

May accept Medicare assignment

Group practices

Cherokee County Health DepartmentGroup PAC ID 3476643123, 2 clinicians

Floyd County Health DepartmentGroup PAC ID 6709872245, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.401
• Direct secure messaging: mark.elam.1@14940.direct.athenahealth.com

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.

• Cherokee County Health Department

  • Public Health or Welfare Agency
  • Canton, GA
  • NPI 1659345718
  Medicare reassignment Care Compare group NPD
• Floyd County Health Department

  dba NW GA Specialty Clinic

  • State or Local Public Health Clinic/Center
  • Rome, GA
  • NPI 1851432173
  Medicare reassignment Care Compare group NPD
• Hamilton Medical Center, Inc.

  • General Acute Care Hospital
  • Dalton, GA
  • NPI 1528056066
  Medicare reassignment NPD
• Whitfield County Board of Health

  • Public Health or Welfare Agency
  • Dalton, GA
  • NPI 1093789075
  Medicare reassignment NPD
• Floyd County Health Department

  • Public Health or Welfare Agency
  • Rome, GA
  • NPI 1881776508
  NPD
• Hamilton Physician Group Inc

  • Cardiovascular Disease Physician
  • Dalton, GA
  • NPI 1235455569
  NPD
• Living Bridge Center North

  • Public Health or Welfare Agency
  • Dalton, GA
  • NPI 1215451547
  NPD
• Cornerstone Medical Group

  • Internal Medicine Physician
  • Dalton, GA
  • NPI 1275515967
  NPD (past)
• Mullen Elder Care, P.C.

  • Specialist
  • Ringgold, GA
  • NPI 1083882435
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1669559035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 WOODLAND AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374053959",
            "telephone_number": "706-483-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9702 CHESTNUT HILL LN",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214815",
            "telephone_number": "706-226-5446",
            "fax_number": "866-230-8698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Professional Blvd",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "307202536",
            "country_code": "US",
            "telephone_number": "706-278-3884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELAM",
        "first_name": "MARK",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "036147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00546532A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Kristin Ehrlich
• Madison Ekas
• Karen Gayl Ekwueme, M.D.
• Abdulhafiz M El Etr, MD
• Hussein El Tayyab
• Elbow Tree Christian Counseling, LLC
• Alison Elder, RN
• D'Toria S Elder, RN
• Alexandria Jade Eldridge I
• David Benjamin Eldridge

• Specialist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.

Verify at the official NPI Registry.