Individual provider Active NPI

Susan Floyd Elium, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mount Airy, NC
National Provider Identifier
1750156345
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5019593 Issued in NC
Practice address
1287 Newsome St
Mount Airy, NC 27030-5439
Phone
(800) 765-7130
NPI assigned
Nov 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5019593 NC Primary

Addresses

Primary practice location

1287 Newsome St
Mount Airy, NC 27030-5439

Mailing address

6013 Glenacre Dr
Kernersville, NC 27284-8656
Phone (336) 707-4344

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240402000274 NC Practitioner - Nurse Practitioner 0042658619 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Eventus Wholehealth PLLCGroup PAC ID 6002169539, 301 clinicians
Eventus WH Southeast, LLCGroup PAC ID 5496294456, 241 clinicians

Practice addresses (Care Compare)

101 Cabarrus Ave E
Suite 200
Concord, NC 28025-3781
Phone (855) 743-2247

212 S Tryon St
Suite 1000
Charlotte, NC 28281-0006
Phone (855) 743-2247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5019593NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus WH Southeast, LLC CurrentSince Jan 1, 2025 Accepting new patients
Eventus Wholehealth, PLLC Psychiatric/Mental Health CurrentSince Jun 1, 2024 Accepting new patients
Eventus Wholehealth Aco LLC CurrentSince Aug 1, 2024 Accepting new patients
Eventus WH PLLC Care, LLC CurrentSince Sep 1, 2025 Accepting new patients
Premier Psychiatric Solutions PLLC CurrentSince Mar 22, 2024 Accepting new patients
Eventus Value Care, LLC CurrentSince Oct 15, 2025 Accepting new patients

Locations

212 S Tryon St
Ste 1000
Charlotte, NC 28281
Phone (512) 575-8028

2810 Coliseum Centre Dr
Ste 120
Charlotte, NC 28217

1287 Newsome St
Mount Airy, NC 27030
Phone (336) 786-2133

160 Mine Lake Ct
#200
Raleigh, NC 27615
Phone (404) 805-4288

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1700784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1750156345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6013 GLENACRE DR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272848656",
            "telephone_number": "336-707-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1287 NEWSOME ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270305439",
            "telephone_number": "800-765-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIUM",
        "first_name": "SUSAN",
        "middle_name": "FLOYD",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-24",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5019593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

Verify at the official NPI Registry.