JOHN C ELKINS (NPI# 1003122821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003122821 |
| Entity Type | Individual |
| Full Name | JOHN C ELKINS |
| Credential | CRNP |
| Practice Address |
4305 Denny Ave Pascagoula MS 39581-5509 |
| Practice Telephone | 2287622044 |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2011-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R887805 | MS | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 1-110201 | AL | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | 1-110201 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R887805 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 511-10260 | 01 |
| AL | TRICARE SOUTH | 1003122821 | 01 |
| AL | VIVA HEALTH | Z12065 | 01 |
| AL | 122803 | 05 | |
| AL | BCBS | 511-10258 | 01 |
| AL | 122801 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053705996 | John Elkins | Physical Therapy Assistant | 4041 Reid Rd, Tobaccoville, NC 27050-9527 | 2015-03-27 |
| 1134190580 | John Elkins | Obstetrics & Gynecology | 312 Professional Park Dr, Suite A, Arkadelphia, AR 71923-5315 | 2006-02-01 |
| 1730164989 | John Charles Elkins | Chiropractor | 108 W Auglaize St, Wapakoneta, OH 45895-1534 | 2005-12-09 |
| 1801915087 | John David Elkins | Psychologist | 5200 Maryland Way, Suite 102, Brentwood, TN 37027-5018 | 2007-03-28 |
| Street Address |
4305 DENNY AVE |
| City | PASCAGOULA |
| State | MS |
| Zip Code | 39581-5509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356478564 | Cooper Family Medical Center Inc. | Clinic/Center | 4305 Denny Ave, Pascagoula, MS 39581-5509 | 2007-02-27 |
| 1427534221 | Serendipity Mph | Counselor | 4305 Denny Ave, Pascagoula, MS 39581-5509 | 2018-07-14 |
| 1528380722 | Physician Advantage Urgent Care of Pascagoula LLC | Clinic/Center | 4305 Denny Ave, Pascagoula, MS 39581-5509 | 2010-02-16 |
| 1073846770 | Pascagoula Urgent Care Center LLC | Clinic/Center | 4305 Denny Ave, Pascagoula, MS 39581-5509 | 2009-09-12 |
| 1023267630 | Kevin Scott Cooper | Family Medicine | 4305 Denny Ave, Pascagoula, MS 39581-5509 | 2008-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760945448 | Jacquelyn B Ellison | Nurse Practitioner | 4105 Hospital Road, Ste 103, Pascagoula, MS 39581 | 2019-04-10 |
| 1104346816 | Jennifer Ngoc Bui | Dentist | 4001 Denny Ave Suite 1, Pascagoula, MS 39581 | 2017-06-23 |
| 1528486289 | Thomas Stallworth | Nurse Practitioner | 4105 Hospital St Ste 104, Pascagoula, MS 39581 | 2014-03-31 |
| 1487919957 | Candace Noel Pendowski | Nurse Practitioner | 4211 Hospital St Suite 208, Pascagoula, MS 39581 | 2012-07-10 |
| 1649548892 | Kim M. Tumminello | Nurse Practitioner | 4253 Denny Avenue, Pascagoula, MS 39581 | 2011-12-02 |
| 1649547860 | Abrian Norell Flowers | Physical Therapist | 3537 Denny Avenue, Suite 115, Pascagoula, MS 39581 | 2011-11-17 |
| 1164724118 | Coast To Coast Rehab LLC | Rehabilitation Practitioner | 3537 Denny Ave, Suite 115, Pascagoula, MS 39581 | 2010-11-24 |
| 1740500958 | Joshua Eric Tucker | Physical Medicine & Rehabilitation | 4105 Hospital St Ste 112b, Pascagoula, MS 39581 | 2010-06-10 |
| 1720164916 | Vernon W Doster | Family Medicine | 3616 Hospital Street, Suite D, Pascagoula, MS 39581 | 2006-10-31 |
| 1841387727 | David Bruce Allen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4300 Hospital Rd, Suite 105, Pascagoula, MS 39581 | 2006-10-10 |
| Find all providers in zip 39581 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326040940 | Donna Jean Bevier | Nurse Practitioner | 2210 Denny Ave, Pascagoula Urgent Care, Pascagoula, MS 39567-3416 | 2005-08-12 |
| 1639171234 | Wanda Jane Dedeaux | Nurse Practitioner | 1820 Old Mobile Ave, Pascagoula, MS 39567-4412 | 2005-08-12 |
| 1811502628 | Hillary Paige Weaver | Nurse Practitioner | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2020-09-09 |
| 1508404831 | Darrah Amanda Norsworthy | Nurse Practitioner | 4211 Hospital St, Pascagoula, MS 39581-5320 | 2019-12-17 |
| 1427605161 | Charisse Lashaune Johnson | Nurse Practitioner | 4105 Hospital St, Pascagoula, MS 39581-5312 | 2019-08-19 |
| 1295382828 | Lashaunda Whitley | Nurse Practitioner | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2019-08-19 |
| 1124586086 | Anganatte Nicole Williams | Nurse Practitioner | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2019-03-08 |
| 1952870974 | Chutney Walley | Nurse Practitioner | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2018-11-20 |
| 1265918445 | Shekina T Dillon | Nurse Practitioner | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2018-07-11 |
| 1366989253 | Anna Kahlmus | Nurse Practitioner | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2017-01-30 |
| Find all providers in PASCAGOULA | ||||
| City | PASCAGOULA |
| Zip Code | 39581 |
Please comment or provide details below to improve the information on JOHN C ELKINS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.