Active NPI
Elijah P Mays Jr., APRN
- Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5021737
- 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
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 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP7377 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5021737 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medicine Foundation | Current | Accepting new patients | |
| Primary Care PLLC | Family | Current | Accepting new patients |
| Community Medicine Foundation | Current | 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
- elijah.mays@49412312072196.direct.elationemr.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Rock Hill, SC
- NPI 1528004918
-
- Federally Qualified Health Center (FQHC)
- Chester, SC
- NPI 1548914773
-
- Family Nurse Practitioner
- Spring, TX
- NPI 1770354763
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.