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PLEASANT GARDEN FAMILY PRACTICE
NPI 1083754709
Family Medicine in Pleasant Garden, NC

Active since February 08, 2007
1500 NEELLEY RD, PLEASANT GARDEN, NC 27313(336) 674-6191(336) 674-6496 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pleasant Garden Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PLEASANT GARDEN FAMILY PRACTICE (NPI 1083754709) is a healthcare organization registered as a family medicine in Pleasant Garden, North Carolina and active in the NPI registry since February 2007. The organization lists Wilson Oliver Elkins, Owner, as its authorized official.

NPPES Registry Identity

NPI1083754709
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePLEASANT GARDEN FAMILY PRACTICE
Location Address1500 NEELLEY RDPleasant Garden, NC 27313-9230
Mailing AddressPo Box 580Pleasant Garden, NC 27313-0580 · (336) 674-6191 · Fax (336) 674-6496
Phone(336) 674-6191
Fax(336) 674-6496
Organization SubpartNo
Authorized OfficialWilson Oliver ElkinsOwner · (336) 674-6191
Enumeration DateFebruary 8, 2007
Last NPPES UpdateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1083754709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1500 NEELLEY RD, Pleasant Garden, NC 27313
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Other Names 1

Doing Business AsPleasant Garden Family Practice

Other Identifiers 1

Medicaid8902451NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pleasant Garden Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Pleasant Garden Family Practice, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Wilson Elkins, MD
General Practice
NPI 1821174095
1500 NEELLEY RD
Pleasant Garden, NC 27313
(336) 674-6191
✔ PECOS✔ Accepts MedicareSame address
Andrea Blevins, ANP
Nurse Practitioner
NPI 1174601017
3803 N ELM ST
Greensboro, NC 27455
(336) 549-9846
✔ PECOS✔ Accepts Medicare13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0238518

Pleasant Garden Family Practice · Pleasant Garden, NC
Expired · Sep 17, 2026
CLIA Number34D0238518
Laboratory TypePhysician Office
Certificate Effective DateSeptember 18, 2024
Certificate Expiration DateSeptember 17, 2026
Laboratory DirectorWilson O. Elkins
Laboratory Phone(336) 674-6191
Laboratory LocationPleasant Garden Family Practice1500 Neelley Rd, Pleasant Garden, NC 27313
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pleasant Garden Family Practice's NPI number?

The NPI number for Pleasant Garden Family Practice is 1083754709. It was assigned to this organization in the NPPES registry on February 8, 2007.

Where is Pleasant Garden Family Practice located?

Pleasant Garden Family Practice is located at 1500 Neelley Rd, Pleasant Garden, NC 27313. The listed phone number is (336) 674-6191.

What is Pleasant Garden Family Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Pleasant Garden Family Practice enrolled in Medicare?

Yes. Pleasant Garden Family Practice is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pleasant Garden Family Practice?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Pleasant Garden Family Practice, in General Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pleasant Garden Family Practice was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.