Elite Sports Medicine and Orthopaedic Center, PLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ELITE SPORTS MEDICINE AND ORTHOPAEDIC CENTER, PLC

Practice address

395 Wallace Rd Ste 201a
Nashville, TN 37211-4881

Phone

(615) 324-1600

Fax

(615) 324-1661

NPI assigned

Apr 27, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Jones McCloud

Title

Credentialing

Phone

(615) 324-1600

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1043831498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 HAYES ST STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032689",
            "telephone_number": "615-324-1600",
            "fax_number": "615-324-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 WALLACE RD STE 201A",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114881",
            "telephone_number": "615-324-1600",
            "fax_number": "615-324-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SPORTS MEDICINE AND ORTHOPAEDIC CENTER, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-27",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "MCCLOUD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "JONES",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "615-324-1600"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Endodontics PLLC
• Elite Eyecare
• Elite Personal Services
• Elite Residential Care, LLC
• Elite Residential Services, LLC
• Elite Sports Medicine and Orthopaedic Center, PLC
• Elite Sports Medicine and Orthopaedic Center, PLC
• Elite Sports Medicine and Orthopaedic Center, PLC
• Elite Sports Medicine and Orthopaedic Center, PLC
• Elitecare Home Solution LLC

• Orthopaedic Surgery Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Orthopaedic Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.