Organization Active NPI

Elms Digestive Disease Specialists,PA

  • Gastroenterology Physician
  • North Charleston, SC
National Provider Identifier
1821024431
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ELMS DIGESTIVE DISEASE SPECIALISTS,PA
Practice address
2671 Elms Plantation Blvd
North Charleston, SC 29406-9165
Phone
(843) 797-6800
Fax
(843) 797-6825
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Jennifer Sires
Title
Administrator
Phone
(843) 797-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

2671 Elms Plantation Blvd
North Charleston, SC 29406-9165

Mailing address

2671 Elms Plantation Blvd
North Charleston, SC 29406-9165
Phone (843) 797-6800

Other names 1

  • Trident Gastroenterology Associates,PA Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040427001232 SC Part B Supplier - Clinic/Group Practice 8123015617 Receives reassigned benefits from 6 practitioners
Practice locations: North Charleston, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1821024431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2671 ELMS PLANTATION BLVD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069165",
            "telephone_number": "843-797-6800",
            "fax_number": "843-797-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2671 ELMS PLANTATION BLVD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069165",
            "telephone_number": "843-797-6800",
            "fax_number": "843-797-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMS DIGESTIVE DISEASE SPECIALISTS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "SIRES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "843-797-6800"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trident Gastroenterology Associates,PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.