Elite Medcare, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

ELITE MEDCARE, LLC

Practice address

3688 Clearview Ave Ste 209
Doraville, GA 30340-2133

Phone

(678) 983-6940

NPI assigned

Sep 11, 2025

Organization subpart

No

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

Authorized official

Name

Fadumo MohamedNPI 1619869914

Title

Owner

Phone

(678) 983-6940

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Fadumo Mohamed

  • Land Ambulance
  • Doraville, GA
  • NPI 1619869914

  Land Transport

  NPD Authorized official

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

{
    "created_epoch": "1757548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1669353983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3688 CLEARVIEW AVE STE 209",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303402133",
            "telephone_number": "678-983-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3688 CLEARVIEW AVE STE 209",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303402133",
            "telephone_number": "678-983-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-11",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "FADUMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-983-6940"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Doraville, GA
• Providers in Doraville, GA by specialty
• Land Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.