Active NPI
Stephen Tyler Elkins-Williams, MD
- Plastic and Reconstructive Surgery Physician
- Chapel Hill, NC
National Provider Identifier
1861652497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 2013-01282
- Practice address
- 1390 Environ Way
Chapel Hill, NC 27517 - Phone
- (919) 933-9522
- Fax
- (919) 933-9453
- NPI assigned
- Jun 17, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2013-01282 | NC | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 2013-01282 | NC | Primary |
Addresses
Primary practice location
1390 Environ Way
Chapel Hill, NC 27517
Mailing address
1390 Environ Way
Chapel Hill, NC 27517-4430
Phone (919) 933-9522
Other practice location 1
3007B Burnett Womack Bldg
CB #7206
Chapel Hill, NC 27599-7206
Phone (919) 966-0184
Other practice location 2
214 Kinsale Drive
Chapel Hill, NC 27517
Phone (919) 491-7759
Other practice location 3
214 Kinsale Drive
Chapel Hill, NC 27517
Phone (919) 491-7759
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130828000372 | NC | Practitioner - Plastic and Reconstructive Surgery | 9436392123 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013-01282 | NC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Finn Facial Plastics, PA | Plastic and Reconstructive Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Plastic and Reconstructive Surgery Physician
- Chapel Hill, NC
- NPI 1295157154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1861652497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1390 ENVIRON WAY",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275174430",
"telephone_number": "919-933-9522",
"fax_number": "919-933-9453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1390 ENVIRON WAY",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "27517",
"telephone_number": "919-933-9522",
"fax_number": "919-933-9453"
}
],
"practiceLocations": [
{
"address_1": "3007B Burnett Womack Bldg",
"address_2": "CB #7206",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275997206",
"country_code": "US",
"telephone_number": "919-966-0184",
"fax_number": "919-843-6568",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "214 Kinsale Drive",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "27517",
"country_code": "US",
"telephone_number": "919-491-7759",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "214 Kinsale Drive",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "27517",
"country_code": "US",
"telephone_number": "919-491-7759",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELKINS-WILLIAMS",
"first_name": "STEPHEN",
"middle_name": "TYLER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-17",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2013-01282",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "NC",
"license": "2013-01282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.