Elite Hospitalist Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME 0111390 Issued in FL

Legal business name

ELITE HOSPITALIST GROUP

Practice address

4201 Belfort Rd
Jacksonville, FL 32216-1431

Phone

(904) 758-8020

NPI assigned

Jan 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Kelvin James Wiley, M.D.

Title

President

Phone

(904) 758-8020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1689063406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 MARGARET ST STE 302",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043869",
            "telephone_number": "904-758-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 BELFORT RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161431",
            "telephone_number": "904-758-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HOSPITALIST GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-16",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-758-8020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 0111390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Barr Transportation LLC
• Elite Care Medical Supplies LLC
• Elite Care Transport Services LLC
• Elite Home Care of Jax LLC
• Elite Home Health LLC
• Elite in Home Physicians
• Elite Medicine, LLC
• Elite Mind and Body Solutions
• Elite Recovery FL,LLC
• Elite Regions Nemt LLC

• Internal Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.