Individual provider Active NPI

Mayada Elian, MD

  • Family Medicine Physician
  • Greenwood, SC
National Provider Identifier
1992186027
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
84753 Issued in SC
Practice address
110 Highway 246 N
Greenwood, SC 29649-8748
Phone
(864) 725-1750
Fax
(864) 725-1762
NPI assigned
Jun 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 51831 KY
Family Medicine Physician 207Q00000X 84753 SC Primary

Addresses

Primary practice location

110 Highway 246 N
Greenwood, SC 29649-8748

Mailing address

104 Wells Ave
Greenwood, SC 29646-3837
Phone (864) 725-4673

Other practice location 1

2347 Fifth Ave
McKeesport, PA 15132-1126
Phone (412) 673-5504

Other practice location 2

3504 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 248-0737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20200820000630 SC Practitioner - Family Practice 4880984277 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Self Regional HealthcareGroup PAC ID 4082527742, 159 clinicians
Self Medical GroupGroup PAC ID 6002953916, 393 clinicians

Practice addresses (Care Compare)

110 Hwy 246 N
Greenwood, SC 29649-8748
Phone (864) 725-1750

115 Academy Ave
Greenwood, SC 29646-3869
Phone (864) 725-7272

116 Venture CT
Greenwood, SC 29649-8558
Phone (864) 725-5594

155 Academy Ave
Greenwood, SC 29646-3869
Phone (864) 725-4865

298 Commerce Dr
Newberry, SC 29108-2953
Phone (803) 321-3232

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51831KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Self Medical Group CurrentSince Oct 1, 2020 Accepting new patients
Self Regional Healthcare Family Medicine CurrentSince Dec 1, 2025 Accepting new patients
Self Medical Group Current Accepting new patients
Self Regional Healthcare CurrentSince Dec 1, 2025 Accepting new patients
Self Medical Group Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients

Locations

75 Remittance Dr
Dept 6793
Chicago, IL 60675

75 Remittance Dr
Dept 6764
Chicago, IL 60675

155 Academy Ave
Greenwood, SC 29646
Phone (864) 725-4865

110 Highway 246 N
Greenwood, SC 29649
Phone (864) 725-1750

104 Wells Ave
Greenwood, SC 29646

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

Interoperability endpoints

  • Direct secure messaging: melian338772@selfregional.direct-ci.net
  • Direct secure messaging: mayadaelian@arh.medalliesdirect.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1992186027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WELLS AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463837",
            "telephone_number": "864-725-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HIGHWAY 246 N",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296498748",
            "telephone_number": "864-725-1750",
            "fax_number": "864-725-1762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2347 Fifth Ave",
            "address_purpose": "LOCATION",
            "city": "McKeesport",
            "state": "PA",
            "postal_code": "151321126",
            "country_code": "US",
            "telephone_number": "412-673-5504",
            "fax_number": "412-673-2150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3504 Cumberland Ave",
            "address_purpose": "LOCATION",
            "city": "Middlesboro",
            "state": "KY",
            "postal_code": "40965",
            "country_code": "US",
            "telephone_number": "606-248-0737",
            "fax_number": "606-248-0739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELIAN",
        "first_name": "MAYADA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "51831",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "84753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.