Individual provider Active NPI

William E. Elkins Jr., PA-C

  • Physician Assistant
  • Clarksville, TN
National Provider Identifier
1760420640
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1152 Issued in TN
Practice address
1000 S Gateway Blvd
Clarksville, TN 37043-8118
Phone
(931) 552-4340
Fax
(931) 552-0999
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA829 KY
Physician Assistant 363A00000X PAC0546 ND
Physician Assistant 363A00000X PA9111356 FL
Physician Assistant 363A00000X 8818 GA
Physician Assistant 363A00000X 1152 TN Primary

Addresses

Primary practice location

1000 S Gateway Blvd
Clarksville, TN 37043-8118

Mailing address

PO Box 306556
Nashville, TN 37230-6556
Phone (615) 329-2294

Other practice location 1

1396 Canton Rd
Cadiz, KY 42211-6652
Phone (270) 206-9904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040429000230 KY Practitioner - Physician Assistant 6608863808 Reassigns benefits to 2 organizations
I20041028000971 TN Practitioner - Physician Assistant 6608863808 Reassigns benefits to 4 organizations
I20181129000039 FL Practitioner - Physician Assistant 6608863808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of North Dakota School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Orthopaedic Alliance PAGroup PAC ID 5193625069, 358 clinicians

Practice addresses (Care Compare)

8 City Blvd
Suite 100
Nashville, TN 37209-2558
Phone (615) 329-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
8818GAMDPhysician Assistant
PA829KYMDPhysician Assistant
PAC0546NDMDPhysician Assistant
1152TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Alliance PA CurrentSince Oct 28, 2024 Accepting new patients
Kentucky Em-I Medical Services PSC Physician Assistant CurrentSince Feb 3, 2010 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Jan 26, 2022 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Jan 26, 2022 Accepting new patients
Seven Springs Orthopaedics, PC CurrentSince Jan 1, 2022 Accepting new patients
Kentucky Em-I Medical Services PSC Physician Assistant CurrentSince Feb 3, 2010 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Oct 28, 2024 Accepting new patients
Tennessee Orthopaedic Alliance PA Past Accepting new patients
LBL Urgent Care Physicians Physician Assistant Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
John a Yezerski, MD Past Accepting new patients

Locations

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

803 Poplar St
Murray, KY 42071
Phone (270) 762-1155

5380 Hickory Hollow Pkwy
Ste 201
Antioch, TN 37013
Phone (615) 891-2056

317 Seven Springs Way
Ste 101
Brentwood, TN 37027
Phone (615) 309-2636

1492 Tiny Town Rd
Ste A1
Clarksville, TN 37042
Phone (615) 758-1030

1000 S Gateway Blvd
Clarksville, TN 37043
Phone (931) 221-4743

116 Bible Xing
Decherd, TN 37324
Phone (931) 962-2772

501 Saundersville Rd
Hendersonville, TN 37075
Phone (615) 527-9026

1047 Glenbrook Way
Ste 110
Hendersonville, TN 37075
Phone (615) 943-5027

1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181

1405 Hillsboro Blvd
Manchester, TN 37355
Phone (931) 728-8152

4998 Crossings Cir
Ste 200
Mt Juliet, TN 37122

820 N Thompson Ln
Ste 1H
Murfreesboro, TN 37129
Phone (615) 758-1027

2113 Memorial Blvd
Ste D
Murfreesboro, TN 37129
Phone (615) 640-6447

8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155

1804 Pinnacle Rd
Ste A
Pleasant View, TN 37146
Phone (931) 221-4743

1114 N Main St
Ste B
Shelbyville, TN 37160
Phone (615) 217-9821

4816 Main St
Ste L
Spring Hill, TN 37174
Phone (615) 861-4444

707 Highway 76
White House, TN 37188
Phone (615) 581-7240

Interoperability endpoints

  • Direct secure messaging: william.elkinsjr.p1@direct.toa.nextgenshare.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1760420640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306556",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306556",
            "telephone_number": "615-329-2294",
            "fax_number": "615-695-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S GATEWAY BLVD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438118",
            "telephone_number": "931-552-4340",
            "fax_number": "931-552-0999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1396 Canton Rd",
            "address_purpose": "LOCATION",
            "city": "Cadiz",
            "state": "KY",
            "postal_code": "422116652",
            "country_code": "US",
            "telephone_number": "270-206-9904",
            "fax_number": "220-206-9905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELKINS",
        "first_name": "WILLIAM",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA829",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ND",
            "license": "PAC0546",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111356",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "8818",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.