Organization Active NPI

Elite Medical Group, LLC

  • Physical Medicine & Rehabilitation Physician
  • Greenville, SC
National Provider Identifier
1114651833
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ELITE MEDICAL GROUP, LLC
Practice address
25 Draper St Apt 120
Greenville, SC 29611-4786
Phone
(864) 268-9040
NPI assigned
Jul 11, 2022
Last updated
Jul 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Authorized official

Name
Heath SharpeNPI 1982093027
Title
Manager
Phone
(864) 268-9040

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
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

25 Draper St Apt 120
Greenville, SC 29611-4786

Mailing address

2541 N Pleasantburg Dr Ste 307
Greenville, SC 29609-2728
Phone (864) 268-9040

National Provider Directory

National Provider Directory

Locations

2541 N Pleasantburg Dr
Ste 307
Greenville, SC 29609

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1114651833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2541 N PLEASANTBURG DR STE 307",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296092728",
            "telephone_number": "864-268-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 DRAPER ST APT 120",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296114786",
            "telephone_number": "864-268-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "SHARPE",
        "authorized_official_first_name": "HEATH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "864-268-9040"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.