Lee William Elgin III, MSN, CRNP, AGACNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11002556 Issued in FL

Practice address

100 Arricola Ave
St Augustine, FL 32080-4515

Phone

(904) 825-4568

NPI assigned

Dec 28, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, FL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15682/brand/1/csg/1/fhir/r4

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.

• Island Doctors Intrastate LLC

  • Primary Care Clinic/Center
  • Saint Augustine, FL
  • NPI 1568083889
  Medicare reassignment NPD
• Roy H Hinman MD PA

  • Family Medicine Physician
  • St Augustine, FL
  • NPI 1649383845
  Medicare reassignment NPD
• St. Augustine Foot & Ankle, Inc

  • Specialist
  • St Augustine, FL
  • NPI 1649409756
  Medicare reassignment NPD
• The Health Care Authority of the City of Anniston

  • General Acute Care Hospital
  • Anniston, AL
  • NPI 1003996000
  Medicare reassignment NPD
• Lina L Feaster PA

  • Primary Care Clinic/Center
  • St Augustine, FL
  • NPI 1922205251
  NPD
• St. Augustine Foot & Ankle, Inc

  • Rheumatology Physician
  • St Augustine, FL
  • NPI 1235916123
  NPD
• Anniston Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Anniston, AL
  • NPI 1053387654
  NPD
• Regional Medical Center Board

  • Neurology Physician
  • Anniston, AL
  • NPI 1093189375
  NPD
• The Health Care Authority of the City of Anniston

  • General Acute Care Hospital
  • Anniston, AL
  • NPI 1215976675
  NPD

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1740796770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 OLD MOULTRIE RD STE 1",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864198",
            "telephone_number": "904-293-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ARRICOLA AVE",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320804515",
            "telephone_number": "904-825-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGIN",
        "first_name": "LEE",
        "middle_name": "WILLIAM",
        "name_suffix": "III",
        "credential": "MSN, CRNP, AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-28",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-108603",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11002556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• El- Salawy Medical PA
• Elaine S. Sadkowski, LCSW, LLC
• David Anthony Eldridge, D.P.T.
• Elevate Mental Health and Wellness LLC
• Elevate Physical Therapy & Wellness
• Catherine Elizabeth Elliott, APRN CNM
• Patricia Elvir, M.D.
• Emergency Medicine Professionals PA
• Emergency Physicians Inc
• Emergency Physicians of St. Johns County

• Family Nurse Practitioner in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Family Nurse Practitioner in Florida

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

Verify at the official NPI Registry.