Elite Physicians Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

54921 Issued in TN

Legal business name

ELITE PHYSICIANS GROUP

Practice address

9005 Overlook Blvd
Brentwood, TN 37027-5269

Phone

(615) 873-2975

Fax

(615) 873-2975

NPI assigned

May 3, 2018

Last updated

May 3, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Casey William Sasser, N.P.

Title

Co-Owner/Partner

Phone

(931) 206-3549

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Darren Kendrick Adderly II, M.D.

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1386904522

  TN

  Medicare reassignment NPD

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525305600000",
    "number": "1104315373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9005 OVERLOOK BLVD",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275269",
            "telephone_number": "615-873-2975",
            "fax_number": "615-873-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9005 OVERLOOK BLVD",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275269",
            "telephone_number": "615-873-2975",
            "fax_number": "615-873-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHYSICIANS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-05-03",
        "status": "A",
        "authorized_official_last_name": "SASSER",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CO-OWNER/PARTNER",
        "authorized_official_telephone_number": "931-206-3549",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "54921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1516161",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q025243",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q024217",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Warren J Eisenstein, M.D.
• Iordanis Ekimogloy
• Mohamed Elashhat
• Elite Emergency Russellville PLLC
• Elite Healthcare Alliance, PLLC
• Elite Sports Medicine and Orthopaedic Center, PLC
• Chad David Elkin, M.D.
• Patrick Lee Ellington
• Anne Elliott, PMHNP
• Eva Marie Elliott, APRN

• Internal Medicine Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.