Adrienne C Elstad, NCCPA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

005700 Issued in GA

Practice address

960 Johnson Ferry Rd Ste 100
Atlanta, GA 30342-1601

Phone

(404) 252-9063

Fax

(404) 252-0873

NPI assigned

Jul 26, 2010

Last updated

Feb 9, 2018By 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 3

Other names 1

• Miss Adrienne C Charron Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Atlanta Cardiac & Thoracic Surgery

  • Specialist
  • Atlanta, GA
  • NPI 1376753970
  NPD (past)

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518134400000",
    "number": "1710290218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PKWY # C",
            "address_2": "STE 290",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053707",
            "telephone_number": "770-667-4337",
            "fax_number": "770-667-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 JOHNSON FERRY RD STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421601",
            "telephone_number": "404-252-9063",
            "fax_number": "404-252-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSTAD",
        "first_name": "ADRIENNE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "NCCPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2018-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "005700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "749565882E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "749565882G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "749565882F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIENNE",
            "last_name": "CHARRON",
            "middle_name": "C",
            "prefix": "MISS",
            "credential": "NCCPA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Elsbury, APC
• Carlene W. Elsner, M.D.
• William Elsner, M.D.
• Andrew Ward Elson, MD
• Shia Hyam Elson, M.D.
• Sigrid Y Elston, PH.D.
• Temitope Elutilo-Ayoola, MD
• Gabrielle Kathryn Elve, PA-C
• David R Elwood, MD
• Eric T Elwood, MD

• Medical Physician Assistant in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.