Active NPI
Danielle Leigh Elam, NP
- Nurse Practitioner
- Hinesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F10200818
- Practice address
- 455 S Main St Ste 104
Hinesville, GA 31313-4354 - Phone
- (912) 369-9400
- NPI assigned
- Oct 19, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F10200818 | GA | Primary |
Addresses
Primary practice location
455 S Main St Ste 104
Hinesville, GA 31313-4354
Mailing address
462 Elma G Miles Pkwy
Hinesville, GA 31313-4000
Other practice location 1
586 Islands Hwy
Midway, GA 31320-5962
Phone (912) 369-9400
Other practice location 2
73 Coastal Manor Dr SE
Ludowici, GA 31316-2949
Phone (912) 369-9400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
455 S Main St
Suite 104
Hinesville, GA 31313-4354
Phone (912) 876-5644
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F10200818 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Authority of Liberty County | Current | Accepting new patients | |
| Hospital Authority of Liberty County | Current | Accepting new patients | |
| Hospital Authority of Liberty County | Current | Accepting new patients |
Locations
455 S Main St
Ste 104
Hinesville, GA 31313
Phone (912) 368-6226
462 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (888) 829-0068
128 Coastal Manor Dr SE
Ludowici, GA 31316
Phone (912) 545-3392
73 Coastal Manor Dr SE
Ludowici, GA 31316
Phone (912) 369-9313
586 Islands Hwy
Midway, GA 31320
Phone (912) 396-7050
Organizations & group practices 3
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.
-
- Critical Access Hospital
- Hinesville, GA
- NPI 1326079260
-
- Orthopaedic Surgery Physician
- Hinesville, GA
- NPI 1023443801
-
- Obstetrics & Gynecology Physician
- Hinesville, GA
- NPI 1508356395
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hinesville, GA
- NPI 1326079260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1962001255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "462 ELMA G MILES PKWY",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313134000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 S MAIN ST STE 104",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313134354",
"telephone_number": "912-369-9400"
}
],
"practiceLocations": [
{
"address_1": "586 Islands Hwy",
"address_purpose": "LOCATION",
"city": "Midway",
"state": "GA",
"postal_code": "313205962",
"country_code": "US",
"telephone_number": "912-369-9400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "73 Coastal Manor Dr SE",
"address_purpose": "LOCATION",
"city": "Ludowici",
"state": "GA",
"postal_code": "313162949",
"country_code": "US",
"telephone_number": "912-369-9400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELAM",
"first_name": "DANIELLE",
"middle_name": "LEIGH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-19",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "F10200818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hinesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.