Active NPI
Im Elite LLC
- Private Vehicle
- Duluth, GA
National Provider Identifier
1609613579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- Legal business name
- IM ELITE LLC
- Practice address
- 2632 Northwoods Lake CT
Duluth, GA 30096-7997 - Phone
- (380) 799-4216
- NPI assigned
- Jul 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rodney Ayers
- Title
- Ceo
- Phone
- (614) 804-6268
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Private Vehicle | 347C00000X | Primary |
Addresses
Primary practice location
2632 Northwoods Lake CT
Duluth, GA 30096-7997
Mailing address
8735 Dunwoody PL Ste 5309
Atlanta, GA 30350-2995
Phone (678) 272-5684
National Provider Directory
National Provider DirectoryLocations
8735 Dunwoody Pl
Ste 5309
Sandy Springs, GA 30350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720483200000",
"number": "1609613579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8735 DUNWOODY PL STE 5309",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303502995",
"telephone_number": "678-272-5684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2632 NORTHWOODS LAKE CT",
"city": "DULUTH",
"state": "GA",
"postal_code": "300967997",
"telephone_number": "380-799-4216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IM ELITE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-09",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A",
"authorized_official_last_name": "AYERS",
"authorized_official_first_name": "RODNEY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "614-804-6268"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.