Elite Medical Associates LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

ELITE MEDICAL ASSOCIATES LLC

Doing business as

Elite Medical Associates LLC

Practice address

6290 McDonough Dr Ste D2
Norcross, GA 30093-1203

Phone

(770) 870-9481

NPI assigned

May 7, 2020

Last updated

Apr 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tyler Penrod

Title

Biller

Phone

(305) 900-4715

Specialties & licenses 1

Addresses

Other names 1

• ELITE MEDICAL ASSOCIATES LLC Doing business as

Locations

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1750903274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6290 MCDONOUGH DR STE D2",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931203",
            "telephone_number": "770-870-9481",
            "fax_number": "512-532-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6290 MCDONOUGH DR STE D2",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931203",
            "telephone_number": "770-870-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "PENROD",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "305-900-4715"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELITE MEDICAL ASSOCIATES LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ELITE MEDICAL ASSOCIATES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Elliott Ehrhardt, M.ED., CCC-SLP
• David M Eifert, CNIM, R. EEG T.
• Elina Health Management LLC (Peachtree Urgent Care and Family Practice)
• Elina Healthcare Inc (Gwinnett Urgent Care & Family Practice)
• Elina Labs LLC
• Javier Elizalde, NCAC II
• Willette Ellerbe
• Ann Elliott
• Sean Ellis
• Elpis Hospice

• Emergency Care Clinic/Center in Norcross, GA
• Providers in Norcross, GA by specialty
• Emergency Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.