Individual provider Active NPI

Elaine Smith Waz, FNP

  • Family Nurse Practitioner
  • Bluffton, SC
National Provider Identifier
1851156236
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28286 Issued in SC
Practice address
14 Oak Forest Rd Ste D
Bluffton, SC 29910-4988
Phone
(912) 214-3388
NPI assigned
Feb 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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 28286 SC Primary

Addresses

Primary practice location

14 Oak Forest Rd Ste D
Bluffton, SC 29910-4988

Mailing address

209 Burroughs Ave
Beaufort, SC 29902-5307
Phone (843) 670-4265

Other names 1

  • Elaine Crowell Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20241213000553 SC Practitioner - Nurse Practitioner 9638605678 Reassigns benefits to 2 organizations
I20250716004127 GA Practitioner - Nurse Practitioner 9638605678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lowcountry Urgent Care LLCGroup PAC ID 9739210337, 81 clinicians
Palmetto Infusion Services LLCGroup PAC ID 4688578826, 60 clinicians

Practice addresses (Care Compare)

272 Robert Smalls Pkwy
Suite 320
Beaufort, SC 29906-3703
Phone (843) 256-8876

40 Okatie Ctr Blvd S
Suite 303
Okatie, SC 29909-7507
Phone (843) 414-0287

7426 Hodgson Memorial Dr
Suite B
Savannah, GA 31406-2625
Phone (800) 809-1265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Infusion Services LLC CurrentSince Nov 25, 2024 Accepting new patients

Locations

404 Town Park Blvd
Ste 201
Evans, GA 30809

7426 Hodgson Memorial Dr
Ste B
Savannah, GA 31406

1027 Physicians Dr
Ste 220
Charleston, SC 29414
Phone (843) 553-7588

40 Okatie Center Blvd S
Ste 303
Okatie, SC 29909
Phone (843) 414-0287

Interoperability endpoints

  • Direct secure messaging: elaine.waz.1@29822.direct.athenahealth.com
  • Direct secure messaging: elaine.waz.1@23431.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1851156236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 BURROUGHS AVE",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025307",
            "telephone_number": "843-670-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 OAK FOREST RD STE D",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104988",
            "telephone_number": "912-214-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAZ",
        "first_name": "ELAINE",
        "middle_name": "SMITH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "28286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "SMITH",
            "middle_name": "CROWELL",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.