Provider Demographics
NPI:1154415628
Name:ELKINS, LARRY H (MD)
Entity type:Individual
Prefix:
First Name:LARRY
Middle Name:H
Last Name:ELKINS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:LARRY
Other - Middle Name:H
Other - Last Name:ELKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1490
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-1490
Mailing Address - Country:US
Mailing Address - Phone:828-262-3886
Mailing Address - Fax:
Practice Address - Street 1:448 CRANBERRY ST
Practice Address - Street 2:
Practice Address - City:NEWLAND
Practice Address - State:NC
Practice Address - Zip Code:28657
Practice Address - Country:US
Practice Address - Phone:828-737-0221
Practice Address - Fax:828-737-0321
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2015-00088207R00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
K24082Medicare ID - Type Unspecified
A97065Medicare UPIN