Elite Pain Care, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ELITE PAIN CARE, LLC

Practice address

5938 Buford Hwy NE
Ste 213
Doraville, GA 30340-1374

Phone

(770) 454-1125

Fax

(770) 454-1105

NPI assigned

Jul 31, 2011

Last updated

Jul 31, 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

Hakela Scales-Miller

Title

Business Manager

Phone

(770) 446-7201

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1312070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312070400000",
    "number": "1538447156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3665 CLUB DR",
            "address_2": "STE 107",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961806",
            "telephone_number": "678-288-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5938 BUFORD HWY NE",
            "address_2": "STE 213",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303401374",
            "telephone_number": "770-454-1125",
            "fax_number": "770-454-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PAIN CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-31",
        "last_updated": "2011-07-31",
        "status": "A",
        "authorized_official_last_name": "SCALES-MILLER",
        "authorized_official_first_name": "HAKELA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "770-446-7201"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Doraville, GA
• Providers in Doraville, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.