Elite Care Internal Medicine PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

053869 Issued in GA

Legal business name

ELITE CARE INTERNAL MEDICINE PC

Practice address

1240 Upper Hembree Rd
Ste D
Roswell, GA 30076-0914

Phone

(770) 667-0810

Fax

(678) 288-7942

NPI assigned

Jan 3, 2011

Last updated

Mar 29, 2011By 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

Dr. Priya Choyan Palliyil, MDNPI 1023005006

Title

MD

Phone

(770) 667-0810

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Priya C Palliyil, MD

  • Internal Medicine Physician
  • Roswell, GA
  • NPI 1023005006
  Authorized official Same address or phone

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1235433418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 UPPER HEMBREE RD",
            "address_2": "STE D",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300760914",
            "telephone_number": "770-667-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 UPPER HEMBREE RD",
            "address_2": "STE D",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300760914",
            "telephone_number": "770-667-0810",
            "fax_number": "678-288-7942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "PALLIYIL",
        "authorized_official_first_name": "PRIYA",
        "authorized_official_middle_name": "CHOYAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "770-667-0810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "053869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "385314069A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Brandon Elder, M.ED, CCC-SLP
• Bernardine Elechi, PHARMD, RPH
• Elera Health Georgia, LLC.
• Elevate Family Chiropractic, LLC
• Elisha W Buckley DDS PC (Buckley Dental Care)
• Anna Elkins, DC
• Tony Elliott
• Karl L Ellis Jr., D.C.
• Marc Allen Ellis, D.C.
• Brittany Latrese Ellison, CNM

• Primary Care Clinic/Center in Roswell, GA
• Providers in Roswell, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.