Organization Active NPI

Elite Neurodiagnostics

  • Electroneurodiagnostic Specialist/Technologist
  • Atlanta, GA
National Provider Identifier
1336569326
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
ELITE NEURODIAGNOSTICS
Practice address
925B Peachtree St NE
460
Atlanta, GA 30309-3918
Phone
(404) 428-7041
NPI assigned
Apr 17, 2014
Last updated
Apr 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Authorized official

Name
Jeffrey Poree Jr., CNIMNPI 1669890430
Title
Presidaent
Phone
(404) 805-4288

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
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X Primary

Addresses

Primary practice location

925B Peachtree St NE
460
Atlanta, GA 30309-3918

Mailing address

925B Peachtree St NE
460
Atlanta, GA 30309-3918

National Provider Directory

National Provider Directory

Locations

5825 Glenridge Dr
Ste 3-101
Sandy Springs, GA 30328
Phone (404) 428-7041

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": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1336569326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925B PEACHTREE ST NE",
            "address_2": "460",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925B PEACHTREE ST NE",
            "address_2": "460",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093918",
            "telephone_number": "404-428-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE NEURODIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "POREE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDAENT",
        "authorized_official_telephone_number": "404-805-4288",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CNIM"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.