Elite Preferred Healthcare Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ELITE PREFERRED HEALTHCARE INC

Practice address

13 Coporate Blvd
Brookhaven, GA 30329

Phone

(248) 843-5470

Fax

(313) 749-9118

NPI assigned

Nov 22, 2024

Organization subpart

No

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

Authorized official

Name

Deshonna Martin

Title

Ma

Phone

(248) 843-5470

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jaylisa Jasminique Collins, FNP

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1568267441
  NPD (past)

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1649096777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 HIGH DOVE WAY SW",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300823562",
            "telephone_number": "248-843-5470",
            "fax_number": "313-749-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 COPORATE BLVD",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "30329",
            "telephone_number": "248-843-5470",
            "fax_number": "313-749-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PREFERRED HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DESHONNA",
        "authorized_official_title_or_position": "MA",
        "authorized_official_telephone_number": "248-843-5470"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Efird, LPC
• Anne Egan
• Victoria Einem
• Lindsey Cara Eisenberg, O.D.
• Ertifa Binta Elias, PHARMD/ RPH
• Embracing Change Psychotherapy Services, LLC
• Emerald Angels Prestige Home Care Agency
• Emergent Testing Lab LLC
• Emergentnow LLC
• Emory Physical Therapy, LLC

• General Practice Physician in Brookhaven, GA
• Providers in Brookhaven, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.

Verify at the official NPI Registry.