Active NPI
Elite Medical Group, LLC
- Physical Medicine & Rehabilitation Physician
- Greenville, SC
National Provider Identifier
1114651833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- 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, 2022
- 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
- Heath Sharpe
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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 DirectoryLocations
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.
-
- Chiropractor
- Greenville, SC
- NPI 1982093027
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.