MARK P ELAM (MD) – Specialist, NPI 1669559035

MARK P ELAM (MD) is a healthcare provider. based in Dalton, Georgia. specializing in INTERNAL MEDICINE, GERIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 036147 (GA). The NPI Number for MARK P ELAM (MD) is 1669559035

Main info

Male
Sole Proprietor
40 Years Of Experience
Name
MARK P ELAM (MD)
NPI
1669559035
Phone
(706) 278-3884
Address
800 Professional Blvd
Enumeration Date
1 November 2006
Last Update Date
20 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
7068025444
Graduation Year
1986 (40 years ago)
PAC ID
5799764429
Group Practice PAC ID
6709872245
Professional Enrollment ID
I20040716000280
Address ID
GA301614720RO16XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

Provider Addresses for MARK P ELAM (MD)

  • 800 Professional Blvd

    Dalton, GA 307202536

    Phone: (706) 278-3884

    Type: Location

  • 208 WOODLAND AVE

    CHATTANOOGA, TN 374053959

    Phone: (706) 483-4999

    Type: Mailing

  • 9702, Chestnut Hill Lane, Emerald Valley, West View, Chattanooga, Hamilton County, East Tennessee, Tennessee, 37421, United States

    CHATTANOOGA, TN 37421

    Phone: (706) 226-5446

    Fax: (866) 230-8698

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $82.

Total Amount is formed as General ($82) + Research ($0) + Ownership ($0) = $82.

Last reported payment date: 2024-04-30 • Largest payer in this snapshot: Gilead Sciences, Inc. ($66).

Total Amount

$82

General + Research + Ownership

Payments

4

Total payment records

General Amount

$82

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-30

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: 2004-07-16

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
I20040716000280IInternal 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0008Administration of influenza virus vaccine454454$0
91320Sarscv2 vac 30mcg trs-suc im430430$0
90480Admn sarscov2 vacc 1 dose430430$0
90662Influenza vaccine split virus, preservative free419419$0
0124AAdm sarscv2 bvl 30mcg/.3ml a9694$0
View full utilization report →

Insurance plans in this area (ZIP 30720)

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Provider's Procedures

MARK P ELAM (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINETN81002Urinalysis, manual test143124
INTERNAL MEDICINETN83036Hemoglobin A1C level10298
INTERNAL MEDICINETN90670Pneumococcal vaccine for injection into muscle1313
INTERNAL MEDICINETN93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report736591

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: 6709872245View full group profile
NameSpecialtyState
Nurse PractitionerGA

Reviews

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Frequently asked questions

What identifier follows MARK P ELAM (MD) across health systems?
The NPI 1669559035 uniquely identifies MARK P ELAM (MD) in U.S. healthcare data.
Is MARK P ELAM (MD)'s NPI status active today?
Active status means MARK P ELAM (MD)'s NPI record is not deactivated in the public file.
What type of care does MARK P ELAM (MD) provide?
MARK P ELAM (MD)'s profile centers on Other Service Providers. Clinical services aligned with this taxonomy classification.
Which community is linked to MARK P ELAM (MD)?
MARK P ELAM (MD) shows a connection to Dalton, Georgia in registry-derived data.
Can I export MARK P ELAM (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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