Organization Active NPI

Elite Medical Care and Weight Loss Center, LLC

  • Adult Medicine Physician
  • Newnan, GA
National Provider Identifier
1184957078
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
ELITE MEDICAL CARE AND WEIGHT LOSS CENTER, LLC
Practice address
186 Jefferson Pkwy
Newnan, GA 30263-5822
Phone
(404) 512-1676
NPI assigned
Sep 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Authorized official

Name
Mrs. Sharon Chatman Rhynes, NP
Title
Owner
Phone
(404) 512-1676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

186 Jefferson Pkwy
Newnan, GA 30263-5822

Mailing address

PO Box 72445
Newnan, GA 30271-2445

National Provider Directory

National Provider Directory

Locations

186 Jefferson Pkwy
Newnan, GA 30263
Phone (404) 512-1676

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1184957078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72445",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302712445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 JEFFERSON PKWY",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302635822",
            "telephone_number": "404-512-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL CARE AND WEIGHT LOSS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "RHYNES",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "CHATMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-512-1676",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.