Individual provider Active NPI

Elijah P Mays Jr., APRN

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1992317366
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5021737 Issued in NC
Practice address
14125 Steete Creek Road
Charlotte, NC 28273-3968
Phone
(704) 504-8199
NPI assigned
Aug 18, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 24395 SC
Nurse Practitioner 363L00000X 5021737 NC Primary

Addresses

Primary practice location

14125 Steete Creek Road
Charlotte, NC 28273-3968

Mailing address

14125 Steele Creek Rd
Charlotte, NC 28273-3968
Phone (704) 504-8199

Other identifiers 1

IdentifierTypeStateIssuer
NP7377MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 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
I20210108002478 SC Practitioner - Nurse Practitioner 5496168569 Reassigns benefits to 1 organization
I20250318000739 NC Practitioner - Nurse Practitioner 5496168569

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5021737NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medicine Foundation CurrentSince Apr 1, 2023 Accepting new patients
Primary Care PLLC Family CurrentSince Mar 4, 2025 Accepting new patients
Community Medicine Foundation CurrentSince Apr 1, 2023 Accepting new patients

Locations

14125 Steele Creek Rd
Charlotte, NC 28273
Phone (704) 283-9163

2340 Spring Forest Rd
Raleigh, NC 27615
Phone (919) 790-6401

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

1 Cvs Dr
#2295
Woonsocket, RI 02895
Phone (401) 770-8043

1140 Saluda St
Rock Hill, SC 29730
Phone (803) 325-7744

1131 Saluda St
Rock Hill, SC 29730
Phone (803) 325-7744

Interoperability endpoints

  • Direct secure messaging: elijah.mays@49412312072196.direct.elationemr.com
  • Direct secure messaging: elijah.mays.1@7423.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1992317366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14125 STEELE CREEK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282733968",
            "telephone_number": "704-504-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14125 STEETE CREEK ROAD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282733968",
            "telephone_number": "704-504-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYS",
        "first_name": "ELIJAH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-18",
        "last_updated": "2025-03-03",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24395",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5021737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP7377",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.