Individual provider Active NPI

Elisha Vernice Carter, PA-C

  • Medical Physician Assistant
  • Owings Mills, MD
National Provider Identifier
1992040778
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0004937 Issued in MD
Practice address
7920 McDonogh Rd Ste 201
Owings Mills, MD 21117-5323
Phone
(855) 527-7246
Fax
(866) 229-5063
NPI assigned
Dec 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0004937 MD Primary

Addresses

Primary practice location

7920 McDonogh Rd Ste 201
Owings Mills, MD 21117-5323

Mailing address

201 Defense Hwy Ste 205
Annapolis, MD 21401-7096
Phone (855) 527-7246

Other practice location 1

7120 Minstrel Way
Suite 106
Columbia, MD 21045-5248
Phone (410) 290-9191

Other practice location 2

6569 N Charles St Ste 500
Towson, MD 21204-5808
Phone (855) 527-7246

Other names 1

  • Elisha Locke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131009002103 DC Practitioner - Physician Assistant 3476787243 Reassigns benefits to 2 organizations
I20151021000629 MD Practitioner - Physician Assistant 3476787243 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Pain Management Specialists LLCGroup PAC ID 3173513959, 76 clinicians

Practice addresses (Care Compare)

2405 York Rd
Suite 200
Timonium, MD 21093-2252
Phone (855) 527-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Pain Management, LLC CurrentSince Mar 29, 2015 Accepting new patients
Advanced Pain Management Specialists, LLC CurrentSince Jan 16, 2023 Accepting new patients
Advanced Pain Management Specialists, LLC CurrentSince Jan 16, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Advanced Pain Management Specialists, LLC Past Accepting new patients

Locations

201 Defense Hwy
Ste 205
Annapolis, MD 21401

810 Bestgate Rd
Ste 220
Annapolis, MD 21401
Phone (800) 997-2460

7120 Minstrel Way
Ste 106
Columbia, MD 21045
Phone (410) 290-9191

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

1150 Professional Ct
Ste P
Hagerstown, MD 21740
Phone (301) 665-9696

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

7920 McDonogh Rd
Ste 201
Owings Mills, MD 21117
Phone (443) 321-2590

11921 Rockville Pike
Ste 505
Rockville, MD 20852
Phone (301) 881-7246

120 Sallitt Dr
#D
Stevensville, MD 21666
Phone (410) 923-2714

6569 N Charles St
Ste 500
Towson, MD 21204
Phone (410) 296-6090

Interoperability endpoints

  • Direct secure messaging: elisha.carter.1@11679.direct.athenahealth.com

Organizations & group practices 5

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": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1992040778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DEFENSE HWY STE 205",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017096",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 MCDONOGH RD STE 201",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175323",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7120 Minstrel Way",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210455248",
            "country_code": "US",
            "telephone_number": "410-290-9191",
            "fax_number": "410-290-7330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6569 N Charles St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212045808",
            "country_code": "US",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "ELISHA",
        "middle_name": "VERNICE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0004937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISHA",
            "last_name": "LOCKE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.