Active NPI
Elite Staffing Group for Surgical Nurses, LLC.
- Nursing Care Agency
- Fayetteville, GA
National Provider Identifier
1104062355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 132138LGB
- Legal business name
- ELITE STAFFING GROUP FOR SURGICAL NURSES, LLC.
- Practice address
- 500 W Lanier Ave
Suite 606a
Fayetteville, GA 30214-7636 - Phone
- (770) 573-1876
- Fax
- (770) 252-1102
- NPI assigned
- Dec 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Vanessa J Rainey, CNP
- Title
- Co-Owner
- Phone
- (770) 783-1200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 132138LGB | GA | Primary |
Addresses
Primary practice location
500 W Lanier Ave
Suite 606a
Fayetteville, GA 30214-7636
Mailing address
8376 Carlington LN
Jonesboro, GA 30236-3769
Phone (404) 936-4936
Other names 1
- Elite Staffing Group Healthcare Systems, LLC.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229472000000",
"number": "1104062355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8376 CARLINGTON LN",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302363769",
"telephone_number": "404-936-4936",
"fax_number": "770-252-1102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W LANIER AVE",
"address_2": "SUITE 606A",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302147636",
"telephone_number": "770-573-1876",
"fax_number": "770-252-1102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE STAFFING GROUP FOR SURGICAL NURSES, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-17",
"last_updated": "2008-12-17",
"status": "A",
"authorized_official_last_name": "RAINEY",
"authorized_official_first_name": "VANESSA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "770-783-1200",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CNP"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "GA",
"license": "132138LGB",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Elite Staffing Group Healthcare Systems, LLC.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.