Elite Mens' Health, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ELITE MENS' HEALTH, LLC

Practice address

3361 Nottinghill LN
Valdosta, GA 31605-5874

Phone

(801) 251-6059

Fax

(858) 216-1971

NPI assigned

Apr 27, 2020

Organization subpart

No

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

Authorized official

Name

Thomas Hart, APRN

Title

Owner

Phone

(229) 560-0252

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1558981985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3361 NOTTINGHILL LN",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316055874",
            "telephone_number": "801-251-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3361 NOTTINGHILL LN",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316055874",
            "telephone_number": "801-251-6059",
            "fax_number": "858-216-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MENS' HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-560-0252",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahmood Sayied Eisa, MD
• Chad Wesley Eisenhart, RDN, LDN
• Nancy Elam, R.PH.
• Heather Whitney Eldridge, FNP
• Elite Hearing Care
• Ginger Dale Elkin, PTA
• Ellen Joiner-Woodard, LCSW, PC
• Athena Marie Ellenburg
• Haley Elliott, DO
• Rueben Elliott, PHARM. D.

• Clinic/Center in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.