Organization Active NPI

Elite Chiropractic and Wellness, LLC

  • Chiropractor
  • Lawrenceville, GA
National Provider Identifier
1396010351
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ELITE CHIROPRACTIC AND WELLNESS, LLC
Practice address
629 Scenic Hwy Ste F
Lawrenceville, GA 30046-7811
Phone
(678) 824-4763
NPI assigned
Mar 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Authorized official

Name
Ms. Beatrice Lynne Lofton
Title
Owner
Phone
(678) 824-4763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

629 Scenic Hwy Ste F
Lawrenceville, GA 30046-7811

Mailing address

1160 Scenic View Trce
Lawrenceville, GA 30044-6298
Phone (678) 824-4763

National Provider Directory

National Provider Directory

Locations

629 Scenic Hwy
Ste F
Lawrenceville, GA 30046
Phone (678) 824-4763

NPI Registry JSON

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1396010351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 SCENIC VIEW TRCE",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300446298",
            "telephone_number": "678-824-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 SCENIC HWY STE F",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467811",
            "telephone_number": "678-824-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CHIROPRACTIC AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "LOFTON",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-824-4763",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.