Organization Active NPI

Elevate Health Clinics LLC

  • Chiropractor
  • Woodstock, GA
National Provider Identifier
1104683119
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ELEVATE HEALTH CLINICS LLC
Practice address
4463 Towne Lake Pkwy Ste 200
Woodstock, GA 30189-8230
Phone
(770) 633-5190
NPI assigned
Mar 5, 2024
Last updated
Jul 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Authorized official

Name
David G LeeNPI 1194159269
Title
Owner
Phone
(770) 633-5190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

4463 Towne Lake Pkwy Ste 200
Woodstock, GA 30189-8230

Mailing address

4463 Towne Lake Pkwy Ste 200
Woodstock, GA 30189-8230
Phone (770) 633-5190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250722003602 GA Part B Supplier - Clinic/Group Practice 5496261869 Receives reassigned benefits from 2 practitioners
Practice locations: Woodstock, GA

National Provider Directory

National Provider Directory

Locations

4463 Towne Lake Pkwy
Ste 200
Woodstock, GA 30189
Phone (678) 445-1105

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1104683119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4463 TOWNE LAKE PKWY STE 200",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301898230",
            "telephone_number": "770-633-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4463 TOWNE LAKE PKWY STE 200",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301898230",
            "telephone_number": "770-633-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE HEALTH CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-633-5190"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.