Elite Sports Medicine and Orthopaedic Center, PLC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

ELITE SPORTS MEDICINE AND ORTHOPAEDIC CENTER, PLC

Practice address

107 Glidepath Way
Lebanon, TN 37090-4133

Phone

(615) 324-1600

Fax

(615) 284-2003

NPI assigned

Nov 29, 2016

Organization subpart

Yes

Parent organization

ELITE SPORTS MEDICINE AND ORTHOPAEDIC CENTER, PLCAs reported in NPPES

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

Authorized official

Name

Claudia Lagacy

Title

Office Manager

Phone

(615) 342-0264

Specialties & licenses 6

Addresses

Part of

Elite Sports Medicine and Orthopaedic Center PLC

Locations

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500336000000",
    "number": "1568905248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896172",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896172",
            "telephone_number": "615-324-1600",
            "fax_number": "615-284-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GLIDEPATH WAY",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370904133",
            "telephone_number": "615-324-1600",
            "fax_number": "615-284-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SPORTS MEDICINE AND ORTHOPAEDIC CENTER, PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELITE SPORTS MEDICINE AND ORTHOPAEDIC CENTER, PLC",
        "enumeration_date": "2016-11-29",
        "last_updated": "2017-07-18",
        "status": "A",
        "authorized_official_last_name": "LAGACY",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-342-0264"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennedy Ellen Eidenire, PMHNP
• Robert Chaffee Elam
• Elevate Medical Center, PLLC
• Elite Ambulance LLC
• Elite Sports Medicine and Orthopaedic Center, PLC
• Alexander Brice Elkins
• Desiree Ellison, FNP-C
• Employment & Assessment Solutions, Inc.
• Employment and Assessment Solutions, Inc.
• Savannah Enoch, OTR/L

• Sports Medicine (Orthopaedic Surgery) Physician in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; 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.