Elite Care Family Practice Clinic LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ELITE CARE FAMILY PRACTICE CLINIC LLC

Practice address

314 S 25TH Ave
Hattiesburg, MS 39401-7301

Phone

(601) 255-8808

Fax

(866) 531-8054

NPI assigned

Dec 19, 2024

Organization subpart

No

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

Authorized official

Name

Pilar Lyas, NPNPI 1346990520

Title

Co Owner/NP

Phone

(601) 467-0542

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Practitioners 2

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

• Pilar Lyas, AGNP

  • Adult Health Nurse Practitioner
  • Hattiesburg, MS
  • NPI 1346990520
  Medicare reassignment Care Compare group NPD Authorized official
• Kaylora L Bingham, FNP-C

  • Family Nurse Practitioner
  • Hattiesburg, MS
  • NPI 1568867455
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1770391070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 S 25TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017301",
            "telephone_number": "601-255-8808",
            "fax_number": "601-255-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S 25TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017301",
            "telephone_number": "601-255-8808",
            "fax_number": "866-531-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE FAMILY PRACTICE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "LYAS",
        "authorized_official_first_name": "PILAR",
        "authorized_official_title_or_position": "CO OWNER/NP",
        "authorized_official_telephone_number": "601-467-0542",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert William Eike, RPH
• Eisenhower Army Medical Center (Camp Shelby)
• Eisenhower Army Medical Center (Usadc Camp Shelby 6)
• Maham Ejaz, M.D
• Laci S. Elam, MSN, APRN, FNP-C
• Elite Care Transportation LLC
• Barbara S Ellender, PHD
• Kendon Ellerman
• Aja Delaine Elliott
• Brandon Ellis

• Family Nurse Practitioner in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.