Look up the most recent NPI and PECOS records

Kerren Harry Elder

Emergency Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as KERREN ELDER.

Based on the most recent information from CMS, provider Kerren Harry Elder is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 10:10 AM.

Profile Details

Provider ID
1528016664
Provider Type
Individual
Full Name
Elder, Kerren Harry
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
5/4/2006
Last Updated
8/4/2021

Contact Information

Practice Location

800 Tilghman Dr, Dunn, NC 28334-5510

(800) 291-4020

(919) 419-7247

Mailing Location

3211 Shannon Rd, Suite 300, Durham, NC 27707-6322

(800) 291-4020

(919) 419-7247

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 27445 West Virginia
Code 207RG0300X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 200000781 North Carolina
Code 207P00000X	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 200000781 North Carolina

Kerren Harry Elder

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Nicholson, James E.

Horne, Wallace Jennings

Stewart, Douglas Blair

Deangelis, Kiernan Thomas

Brown, Scott Wesley

Carolina Coast Emergency Physicains, Llc

Minior, Daniel

Ajakaiye, Michael Adebayo

The Carolinas Emergency Group, Pllc

Rana, Ahmad S