DR. LARRY NELSON ELAM (M.D.) – Pediatrics Physician, NPI 1306844170

DR. LARRY NELSON ELAM (M.D.) is a healthcare provider. based in Richmond hill, Georgia. specializing in PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 053491 (GA). The NPI Number for DR. LARRY NELSON ELAM (M.D.) is 1306844170

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. LARRY NELSON ELAM (M.D.)
NPI
1306844170
Phone
(912) 756-3075
Address
10055 FORD AVE
Enumeration Date
14 July 2005
Last Update Date
25 June 2008

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
2163495961
Group Practice PAC ID
4284951542
Professional Enrollment ID
I20040819000122
Address ID
GA302141578FA101XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

496 PEDIATRIC MEDICINE in GA

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Provider Addresses for DR. LARRY NELSON ELAM (M.D.)

  • 10055, Ford Avenue, Richmond Hill, Bryan County, Georgia, 31324, United States

    STE 4A

    RICHMOND HILL, GA 313243972

    Phone: (912) 756-3075

    Fax: (912) 756-5291

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 70 Open Payments records for all available years, with a total value of $1,526.

Total Amount is formed as General ($1,526) + Research ($0) + Ownership ($0) = $1,526.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($561).

Total Amount

$1,526

General + Research + Ownership

Payments

70

Total payment records

General Amount

$1,526

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040819000122IPediatric MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31324)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284951542View full group profile
NameSpecialtyState
Nurse PractitionerGA
-GA
Nurse PractitionerGA
Diagnostic RadiologyGA
Nurse PractitionerGA
Internal MedicineGA
Internal Medicine, Allergy/ImmunologyGA
General PracticeGA
Nurse PractitionerGA
Internal MedicineGA

Reviews

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Frequently asked questions

Can I cross-check DR. LARRY NELSON ELAM (M.D.) using NPI 1306844170?
NPI 1306844170 belongs to DR. LARRY NELSON ELAM (M.D.); compare other details if you need extra assurance.
Is DR. LARRY NELSON ELAM (M.D.) shown as active in public data?
Registry records indicate DR. LARRY NELSON ELAM (M.D.) maintains an active NPI.
What kind of doctor is DR. LARRY NELSON ELAM (M.D.)?
DR. LARRY NELSON ELAM (M.D.) is associated with Pediatrics Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. LARRY NELSON ELAM (M.D.) associated with Richmond Hill?
Public fields place DR. LARRY NELSON ELAM (M.D.) around Richmond Hill, Georgia. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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