Yolanda Lynette Elam, NP
Nurse Practitioner, Family in North Augusta, SC. Individual provider (NPI-1).
NPI number1962099440
StatusActive
Last updated in NPPESDec 30, 2020
Details
- NPI
- 1962099440
- Entity type
- Individual (NPI-1)
- Name
- Yolanda Lynette Elam
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 30, 2020
- Certification date
- Dec 30, 2020
- Last updated
- Dec 30, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 24554 | SC | Yes |
Practice location
167 Mossy Oak CirNorth Augusta, SC 29841-3094
Phone 803-603-9341
Mailing address
167 Mossy Oak CirNorth Augusta, SC 29841-3094
Phone 803-603-9341
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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