ELENA V. FERCILIEN PA-C – NPI #1538636592
Physician Assistant

ELENA FERCILIEN is a physician assistant located in WATKINSVILLE, GA. NPPES has assigned the NPI number 1538636592 to ELENA FERCILIEN on October 29, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name ELENA VICTORIA GARIFALLOU. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 363AM0700X from the Health Care Provider Taxonomy code set, which is classified as Physician Assistant, specializing in Medical

The NPI profile was previously updated about 4 years ago on Oct 10, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELENA FERCILIEN below.

NPI Profile for
ELENA V. FERCILIEN

NPI Number
1538636592
Enumeration Date

(more than 7 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ELENA V. FERCILIEN
Former Name: ELENA VICTORIA GARIFALLOU
Credentials
PA-C
Primary location
1361 JENNINGS MILL RD STE 201
WATKINSVILLE, GA 30677-7292
Phone: (706) 316-1908 Fax: (706) 316-2062
3 Other location(s):
10730 Medlock Bridge Rd Ste 110
Johns Creek, GA 30097
Phone: (678) 344-8900
Fax: (678) 666-5201
3 Richland Medical Park Dr Ste 310
Columbia, SC 29203-6862
Phone: (803) 434-8323
74 Polo Rd
Columbia, SC 29223-2806
Phone: (803) 419-7780
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Oct 10, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ELENA FERCILIEN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidGA00958625A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
363AM0700X
- Physician Assistant / Medical (Primary)
GA 9277

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
OFFICE EMAIL
Content Type
CSV
Affiliation
N
Endpoint Location
1361 JENNINGS MILL RD STE 201,
WATKINSVILLE, GA 77025-1669

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.