Individual provider Active NPI

Stephen Tyler Elkins-Williams, MD

  • Plastic and Reconstructive Surgery Physician
  • Chapel Hill, NC
National Provider Identifier
1861652497
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
2013-01282 Issued in NC
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

Updated by the provider on Sep 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130828000372 NC Practitioner - Plastic and Reconstructive SurgeryPractitioner - General SurgeryPractitioner - Other (Physician) 9436392123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2013-01282NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Finn Facial Plastics, PA Plastic and Reconstructive Surgery PastSince Oct 29, 2018 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.

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

Verify at the official NPI Registry.