Charles Elder

Primary specialty

Private VehicleTaxonomy code 347C00000X

License

098683259 Issued in TN

Practice address

4405 Oakbank LN
Knoxville, TN 37921-5247

Phone

(865) 247-3285

NPI assigned

Mar 12, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1881452928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 OAKBANK LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379215247",
            "telephone_number": "865-247-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 OAKBANK LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379215247",
            "telephone_number": "865-247-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDER",
        "first_name": "CHARLES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "TN",
            "license": "098683259",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "TN",
            "license": "098683259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katia El-Najjar
• Lori Lea Elam, BS
• Elcm Knoxville Leasing LLC
• Elcm Knoxville Management LLC
• Elder Care of Knoxville, LLC
• Robert F Elder, M.D.
• Shirley Elder
• Gretchen Eldridge, BSW
• Hannah Deann Eldridge, COTA
• Michael Eldridge, B.A.

• Private Vehicle in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Private Vehicle in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.