Organization Active NPI

Elite in Home Physicians

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1336839844
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ELITE IN HOME PHYSICIANS
Practice address
200 W Forsyth St Ste 1130
Jacksonville, FL 32202-4326
Phone
(904) 554-1890
NPI assigned
May 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Authorized official

Name
Brandon Groover
Title
Owner
Phone
(904) 554-1890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

200 W Forsyth St Ste 1130
Jacksonville, FL 32202-4326

Mailing address

200 W Forsyth St Ste 1130
Jacksonville, FL 32202-4326
Phone (904) 554-1890

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1336839844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W FORSYTH ST STE 1130",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322024326",
            "telephone_number": "904-554-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W FORSYTH ST STE 1130",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322024326",
            "telephone_number": "904-554-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE IN HOME PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "GROOVER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-554-1890"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.