Elite Wellness PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ELITE WELLNESS PA

Practice address

9 Buena Vista Way
Ste a
Greenville, SC 29615-6621

Phone

(864) 990-1825

Fax

(864) 284-0856

NPI assigned

Apr 29, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy M Netter, MDNPI 1093792426

Title

Owner

Phone

(864) 990-1825

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nancy M. Netter, M.D.

  • Internal Medicine Physician
  • Greenville, SC
  • NPI 1093792426
  Medicare reassignment Care Compare group NPD Authorized official
• Michael Kopscik, MD

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1952989048
  Medicare reassignment Care Compare group NPD
• Daniel G Smith, MD

  • Internal Medicine Physician
  • Greer, SC
  • NPI 1649439464
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1619311099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BUENA VISTA WAY",
            "address_2": "STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156621",
            "telephone_number": "864-990-1825",
            "fax_number": "864-284-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BUENA VISTA WAY",
            "address_2": "STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156621",
            "telephone_number": "864-990-1825",
            "fax_number": "864-284-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE WELLNESS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "NETTER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-990-1825",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise M. Bailey
• Elite Integrated Therapy Centers, LLC
• Elite Medical Group, LLC
• Elite Physical Therapy, LLC (Elite Physical Therapy)
• Elite Spine Chiropractic LLC
• Eliza Home Health
• Elizabeth Home Care Services LLC
• Johnathon Elkes
• Heather Marie Elkin, FNP-C
• Ibrahim S Elkzzaz, PT

• Primary Care Clinic/Center in Greenville, SC
• Providers in Greenville, SC by specialty
• Primary Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.