JAMES SHANNON ELLIOTT (M.D.) – Family Medicine Physician, NPI 1013919174

JAMES SHANNON ELLIOTT (M.D.) is a healthcare provider. based in Hardinsburg, Kentucky. specializing in EMERGENCY MEDICINE, GENERAL PRACTICE. They hold the professional credentials M.D.. They hold a License No. 38786 (KY). The NPI Number for JAMES SHANNON ELLIOTT (M.D.) is 1013919174

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
JAMES SHANNON ELLIOTT (M.D.)
NPI
1013919174
Phone
(270) 756-2424
Address
105 CHAMBLISS DR
Enumeration Date
2 June 2005
Deactivation Date
21 March 2006
Reactivation Date
4 May 2006
Last Update Date
9 December 2008

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
2707061111
Graduation Year
2002 (24 years ago)
PAC ID
3971531229
Group Practice PAC ID
5597867184
Professional Enrollment ID
I20050728000922
Address ID
KY427014900EL1111XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

886 EMERGENCY MEDICINE in KY

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Provider Addresses for JAMES SHANNON ELLIOTT (M.D.)

  • Chambliss Drive, Hardinsburg, Breckinridge County, Kentucky, 40143, United States

    HARDINSBURG, KY 401432575

    Phone: (270) 756-2424

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-07-28

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
I20050728000922IEmergency MedicineKYTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes179166$0
J0696Injection, ceftriaxone sodium, per 250 mg6416$0
96372Injection of drug or substance under skin or into muscle6354$0
87804Detection test by immunoassay with direct visual observation for influenza virus5628$0
81003Automated urinalysis test4341$0
View full utilization report →

Insurance plans in this area (ZIP 40143)

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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: 5597867184View full group profile
NameSpecialtyState
Nurse PractitionerKY
-KY
-KY
General PracticeKY
P S Y C H I A T R YKY
Thoracic Surgery, Cardiac SurgeryKY
N E U R O S U R G E R YKY
Physician AssistantKY
Hematology/Oncology, Internal MedicineKY
-FL

Reviews

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Frequently asked questions

What identifier follows JAMES SHANNON ELLIOTT (M.D.) across health systems?
The NPI 1013919174 uniquely identifies JAMES SHANNON ELLIOTT (M.D.) in U.S. healthcare data.
Is JAMES SHANNON ELLIOTT (M.D.)'s NPI status active today?
Active status means JAMES SHANNON ELLIOTT (M.D.)'s NPI record is not deactivated in the public file.
What services align with JAMES SHANNON ELLIOTT (M.D.)'s listing?
JAMES SHANNON ELLIOTT (M.D.)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit JAMES SHANNON ELLIOTT (M.D.) in Hardinsburg, Kentucky?
For routing, start with Hardinsburg, Kentucky for JAMES SHANNON ELLIOTT (M.D.), then verify phone and hours locally.
Can I export JAMES SHANNON ELLIOTT (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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