John Jay Elms, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

17448 Issued in SC

Practice address

834 Farrar Drive
Conway, SC 29526

Phone

(843) 347-9487

Fax

(843) 347-9574

NPI assigned

Nov 21, 2006

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in SC, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Coastal Kidney Center PA

  • Nephrology Physician
  • Conway, SC
  • NPI 1801961537

  NC

  Medicare reassignment NPD
• Waccamaw Dermatology, LLC

  • Dermatology Physician
  • Myrtle Beach, SC
  • NPI 1962449181
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770658494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 FARRAR DRIVE",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "29526",
            "telephone_number": "843-347-9487",
            "fax_number": "843-347-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 FARRAR DRIVE",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "29526",
            "telephone_number": "843-347-9487",
            "fax_number": "843-347-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMS",
        "first_name": "JOHN",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "17448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1049",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Ekechukwu, BSN
• Iphigenia Eleftheriou-Akerlund, MS RD LD
• Elite Orthopaedics of South Carolina, LLC
• Sarah Elliott, APRN
• Michael H Ellis, M.D.
• Kathleen S Elms, CRNA
• Christina Cooke Elvis
• Ryan Eric Embertson, M.D.
• Empowered Counseling, LLC
• Jennifer Ennis, CCC-SLP

• Nephrology Physician in Conway, SC
• Providers in Conway, SC by specialty
• Nephrology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.