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MATTIE ANITA ELAM PHARM.D.
NPI 1497911788
Pharmacist in Fort Gordon, GA

Active since August 06, 2008
300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER, FORT GORDON, GA 30905(706) 787-2720(706) 787-8176 Get Directions Write a Review

NPPES record last updated: August 6, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mattie Anita Elam Pharm.d. NPPES

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

MATTIE ANITA ELAM PHARM.D. (NPI 1497911788) is an individual pharmacist in Fort Gordon, Georgia, licensed in Georgia (RPH015725) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1497911788
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMATTIE ANITA ELAMCredential: PHARM.D.
Location Address300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTERFort Gordon, GA 30905-5741
Mailing Address300 W Hospital Rd, Eisenhower Army Medical CenterFort Gordon, GA 30905-5741 · (706) 787-2720 · Fax (706) 787-8176
Phone(706) 787-2720
Fax(706) 787-8176
Sole ProprietorNo
Enumeration DateAugust 6, 2008
✔ NPI 1497911788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses✔ Licensed in GA · RPH015725✔ Licensed in MS · T09902
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
300 W HOSPITAL RD, Fort Gordon, GA 30905
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Other Identifiers 1

Medicare UPINVAD000

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.

DR. SCOTT WILLIAM BOYER P.T., DPT, OCS
Physical Therapist
300 W HOSPITAL RD
FORT GORDON, GA 30905
Richmond County (706) 787-1024
MS. JANIS C RAYNOR LCSW
Social Worker (Clinical)
300 W HOSPITAL RD, DDEAMC
FORT GORDON, GA 30905
Richmond County (706) 787-9186
DR. LEO MORRIS JOSEPH MD
Internal Medicine
300 W HOSPITAL RD
FORT GORDON, GA 30905
Richmond County (706) 787-2720
DANA JENKINS FNP
Nurse Practitioner (Adult Health)
300 W HOSPITAL RD, CONNELLY HEALTH CLINIC
FORT GORDON, GA 30905
Richmond County (706) 787-5161
DR. GREGORY J SENGSTOCK MD PHD
Psychiatry & Neurology (Vascular Neurology)
300 W HOSPITAL RD
FORT GORDON, GA 30905
Richmond County (706) 787-1335
DWIGHT D. EISENHOWER HOSPITAL, FORT GORDON
Military Hospital
300 W HOSPITAL RD
FORT GORDON, GA 30905
Richmond County (706) 787-2920
NEELY HUDSON PHARM.D.
Pharmacist
300 W HOSPITAL RD
FORT GORDON, GA 30905
Richmond County (706) 787-5811
BRENDA CLEVELAND
Registered Nurse (Pain Management)
300 W HOSPITAL RD
FORT GORDON, GA 30905
Richmond County (706) 787-2552

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 Mattie Elam's NPI number?

The NPI number for Mattie Elam is 1497911788. It was assigned to this individual provider in the NPPES registry on August 6, 2008.

Where is Mattie Elam located?

Mattie Elam practices at 300 W Hospital Rd Eisenhower Army Medical Center, Fort Gordon, GA 30905. The listed phone number is (706) 787-2720.

What is Mattie Elam's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Mattie Elam was last updated on August 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.