Active NPI
Rich Lloyd Elsey, M.D.
- Family Medicine Physician
- Charlotte, NC
National Provider Identifier
1972570547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2004-00115
- Practice address
- 3520 Lemsford Way
Charlotte, NC 28215-5315 - Phone
- (704) 921-0780
- NPI assigned
- Mar 2, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 200400115 | NC | |
| Family Medicine Physician | 207Q00000X | 2004-00115 | NC | Primary |
Addresses
Primary practice location
3520 Lemsford Way
Charlotte, NC 28215-5315
Mailing address
3520 Lemsford Way
Charlotte, NC 28215-5315
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106075 | Other | NC | UHC |
| 891362T | Medicaid | NC | |
| 1362T | Other | NC | BCBS |
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 |
|---|---|---|---|---|
| I20040623000828 | NC | Practitioner - Family Practice | 2163407081 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Oklahoma College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- American Current Care of North Carolina PC
Practice addresses (Care Compare)
1614 S Blvd
Charlotte, NC 28203-4726
Phone (704) 338-1268
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004-00115 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of North Carolina, P.C. | Current | Accepting new patients | |
| Physicians Eldercare PA | Past | Accepting new patients |
Locations
4221 Tuckaseegee Rd
Charlotte, NC 28208
Phone (704) 392-4057
1614 South Blvd
Charlotte, NC 28203
Phone (704) 338-1268
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340064000000",
"number": "1972570547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3520 LEMSFORD WAY",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282155315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 LEMSFORD WAY",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282155315",
"telephone_number": "704-921-0780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELSEY",
"first_name": "RICH",
"middle_name": "LLOYD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2012-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "200400115",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2004-00115",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "106075",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891362T",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1362T",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.