Individual provider Active NPI

Sylvia Marie Elam, FNP

  • Family Nurse Practitioner
  • Martinez, GA
National Provider Identifier
1760457303
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN085698 Issued in GA
Practice address
4442 Oak Rd
Martinez, GA 30907-1236
Phone
(706) 830-6028
NPI assigned
Feb 17, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN085698 GA Primary

Addresses

Primary practice location

4442 Oak Rd
Martinez, GA 30907-1236

Mailing address

4442 Oak Rd
Martinez, GA 30907-1236
Phone (706) 860-2826

Other identifiers 2

IdentifierTypeStateIssuer
RN085698OtherGAAPN LICENSE
APN 860OtherSCAPN LICENSE

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171005001353 GA Practitioner - Nurse Practitioner 6002181781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Action Medical Center, LLCGroup PAC ID 5496818932, 7 clinicians

Practice addresses (Care Compare)

211 Bobby Jones Expy
Suite C
Martinez, GA 30907-5253
Phone (706) 836-6218

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39011SCMDDiagnostic Radiology Physician
RN085698GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HCR Manorcare Medical Services of Florida LLC CurrentSince Dec 18, 2017 Accepting new patients
Action Medical Center, LLC Family CurrentSince Oct 2, 2023 Accepting new patients
Illumia Health, LLC CurrentSince Jul 7, 2025 Accepting new patients
Illumia Health LLC CurrentSince Jul 7, 2025 Accepting new patients
Minaxi, LLC PastSince Jun 14, 2020 Accepting new patients
B-L Family Practice P a Past Accepting new patients

Locations

3508 Professional Cir
Ste A
Augusta, GA 30907
Phone (706) 210-5900

3508 Professional Cir
Ste A1
Augusta, GA 30907
Phone (706) 993-4108

535 Telfair St
Augusta, GA 30901

2722 N Decatur Rd
Decatur, GA 30033
Phone (404) 292-0626

211 Bobby Jones Expy
Martinez, GA 30907
Phone (706) 860-3355

211 Bobby Jones Expy
Ste C
Martinez, GA 30907
Phone (706) 364-5533

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

L2540
Columbus, OH 43260

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1760457303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4442 OAK RD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309071236",
            "telephone_number": "706-860-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4442 OAK RD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309071236",
            "telephone_number": "706-830-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAM",
        "first_name": "SYLVIA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN085698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LICENSE",
            "identifier": "RN085698",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LICENSE",
            "identifier": "APN 860",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, GA

Sources for this page

Verify at the official NPI Registry.