ELENA MARY JAMES M.D.
NPI 1194251132
Emergency Medicine in Nashville, TN

Active since May 11, 2017PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1313 21ST AVE S, 703 OXFORD HOUSE, NASHVILLE, TN 37232(615) 936-1160 Get Directions Write a Review

NPPES record last updated: June 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 9, 2020, May 11, 2017 (2 updates tracked since 2017).

About Elena Mary James M.d. NPPES

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

ELENA MARY JAMES M.D. (NPI 1194251132) is an individual emergency medicine provider in Nashville, Tennessee, licensed in Georgia (84998) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (2017).

NPPES Registry Identity

NPI1194251132
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameELENA MARY JAMESCredential: M.D.
Location Address1313 21ST AVE S, 703 OXFORD HOUSENashville, TN 37232-4700
Mailing Address1313 21st Ave S, 703 Oxford HouseNashville, TN 37232-4700
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2017
Enumeration DateMay 11, 2017
Last NPPES UpdateJune 9, 20202 updates tracked since enumeration
NPPES CertifiedJune 9, 2020
NPI 1194251132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in GA · 84998
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1313 21ST AVE S, Nashville, TN 37232

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Elena Mary James M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012330046
PECOS Enrollment IDI20200709002889
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
85 services75 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
79 services78 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
1313 21ST AVE S, 703 OXFORD HOUSE
NASHVILLE, TN 37232
Emergency Medicine
1313 21ST AVE S, 703 OXFORD HOUSE
NASHVILLE, TN 37232
Emergency Medicine
1313 21ST AVE S, 703 OXFORD HOUSE
NASHVILLE, TN 37232
Emergency Medicine
1313 21ST AVE S, 703 OXFORD HOUSE
NASHVILLE, TN 37232
Emergency Medicine
1313 21ST AVE S, 703 OXFORD HOUSE
NASHVILLE, TN 37232
Emergency Medicine
1313 21ST AVE S, 703 OXFORD HOUSE
NASHVILLE, TN 37232
Nurse Practitioner (Primary Care)
1313 21ST AVE S, SUITE 808
NASHVILLE, TN 37232
Nurse Practitioner (Acute Care)
1313 21ST AVE S, SUITE 913, OXFORD HOUSE
NASHVILLE, TN 37232

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 Elena James's NPI number?

The NPI number for Elena James is 1194251132. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Elena James located?

Elena James practices at 1313 21st Ave S 703 Oxford House, Nashville, TN 37232. The listed phone number is (615) 936-1160.

What is Elena James's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Elena James enrolled in Medicare?

Yes. Elena James is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Elena James affiliated with any hospitals?

According to CMS data, Elena James is affiliated with Emory University Hospital and Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for Elena James was last updated on June 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.