Elite Care DME,LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ELITE CARE DME,LLC

Practice address

123 S. Main St.
Reidsville, GA 30453

Phone

(912) 557-1084

Fax

(912) 557-1086

NPI assigned

Mar 7, 2013

Last updated

Mar 7, 2013By 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

Mr. David Wilson Jr.

Title

President

Phone

(912) 293-7573

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1770824351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S. MAIN ST. P.O. BOX 2386",
            "city": "REIDSVILLE",
            "state": "GA",
            "postal_code": "30453",
            "telephone_number": "912-557-1084",
            "fax_number": "912-557-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S. MAIN ST.",
            "city": "REIDSVILLE",
            "state": "GA",
            "postal_code": "30453",
            "telephone_number": "912-557-1084",
            "fax_number": "912-557-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE DME,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-293-7573",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D. Wilson Inc. (Elite Care)
• Michael Lamar Davis, P.A.A.
• Erica Leeann Densmore
• David James Drolte, AA
• East Georgia Healthcare Center, Inc.
• Fortner Medical Clinic, LLC
• Gregory Lamar Fortner, M.D.
• Clayborne Fulchi, CRNA
• Georgia State Prison Regional Pharmacy
• Gordonia Emergency Physicians

• Durable Medical Equipment & Medical Supplies in Reidsville, GA
• Providers in Reidsville, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.