Wilson O Elkins, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16976 Issued in NC

Practice address

1500 Neelley Rd
Pleasant Garden, NC 27313-0580

Phone

(336) 674-6191

Fax

(336) 674-6496

NPI assigned

Oct 31, 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 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Wake Forest University School of Medicine, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wilson O ElkinsGroup PAC ID 8921072380, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Pleasant Garden Family Practice

  • Family Medicine Physician
  • Pleasant Garden, NC
  • NPI 1083754709
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1821174095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "PLEASANT GARDEN",
            "state": "NC",
            "postal_code": "273130580",
            "telephone_number": "336-674-6191",
            "fax_number": "336-674-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NEELLEY RD",
            "city": "PLEASANT GARDEN",
            "state": "NC",
            "postal_code": "273130580",
            "telephone_number": "336-674-6191",
            "fax_number": "336-674-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKINS",
        "first_name": "WILSON",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "16976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE #",
            "identifier": "0618",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8930350",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID #",
            "identifier": "8902451",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clapp'S Assisted Living
• Clapp'S Nursing Center, Inc.
• Jessica Clodfelter
• Connecting Bridges LLC.
• Kevin Terence Cunningham, MS CCC-SLP
• Molly Fash
• Jason Ford, LPN
• Whitney Hancock Gauldin, M. ED.
• Angela Gehrt, OTR/L
• Sallie N Harrell, NNP-BC

• Family Medicine Physician in Pleasant Garden, NC
• Providers in Pleasant Garden, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.