Mark J Elder Do PA
Mark J Elder Do PA is a healthcare organization registered as Family Medicine Physician in Jay, FL, holding Type 2 (organization) NPI 1144651209 since 2013. The authorized official on file is Lori Elder, Practice Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1144651209 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mark J Elder Do PA |
| Other name | <Unavail> |
| Practice address | 3887 SCOTTS PLAZA DR, Jay, FL, 32565 |
| Phone | 8509810320 |
| Fax | 8509810911 |
| Enumeration date | 2013-11-27 |
| Last updated in NPPES | 2016-05-04 |
Authorized official
| Name | Lori Elder |
|---|---|
| Title | Practice Manager |
| Phone | 8509810320 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | OS8505 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262643800 | Medicaid | FL | — |
Copy-ready billing details
Provider: Mark J Elder Do PA NPI: 1144651209 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 3887 SCOTTS PLAZA DR, Jay, FL, 32565
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1477559409 | Mark Elder | Individual | Family Medicine Physician | Jay, FL |
| 1912329517 | Matthew Brown | Individual | Medical Physician Assistant | Jay, FL |
Verify this record
Cross-check NPI 1144651209 against the authoritative CMS record: view Mark J Elder Do PA on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Mark J Elder Do PA located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-05-04.