Elite Healthcare, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ELITE HEALTHCARE, LLC

Practice address

4555 35TH Ave
Meridian, MS 39305-2544

Phone

(601) 207-2017

Fax

(601) 207-1227

NPI assigned

Nov 23, 2020

Organization subpart

No

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

Authorized official

Name

Lucy Barnes, FNP-CNPI 1659971380

Title

Nurse Practitioner

Phone

(601) 207-2017

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lucy M Barnes, FNP-C

  • Family Nurse Practitioner
  • Meridian, MS
  • NPI 1659971380
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1235733155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 POPLAR SPRINGS DR.",
            "address_2": "STE. A, PMB 191",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393052678",
            "telephone_number": "601-207-2017",
            "fax_number": "601-207-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 35TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393052544",
            "telephone_number": "601-207-2017",
            "fax_number": "601-207-1227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "557 Grants Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "390479023",
            "country_code": "US",
            "telephone_number": "601-207-2017",
            "fax_number": "601-207-1227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-23",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "LUCY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "601-207-2017",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emily Joy Elliott, DPT
• Mark Steven Elliott, MD
• William Edward Elliott, M.D.
• Ellis Optical Shoppe LLC

• Family Nurse Practitioner in Meridian, MS
• Providers in Meridian, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.