Elite Hydration Center

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

ELITE HYDRATION CENTER

Practice address

4200 Northside Pkwy NW BLDG 8
Suite 300
Atlanta, GA 30327-3007

Phone

(404) 935-2189

NPI assigned

Mar 13, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Adam Smart, CSANPI 1093816704

Title

Officer

Phone

(404) 935-2189

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adam Smart, CSA

  • Surgical Physician Assistant
  • Atlanta, GA
  • NPI 1093816704
  NPD (past) Authorized official

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1790226546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N HIGHLAND AVE NE",
            "address_2": "STE 230-451",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071936",
            "telephone_number": "404-935-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 NORTHSIDE PKWY NW BLDG 8",
            "address_2": "SUITE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303273007",
            "telephone_number": "404-935-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HYDRATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "SMART",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "404-935-2189",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisive Quality
• Elite Comfort Care Services LLC
• Elite Diagnostic Imaging LLC
• Elite Healthcare Enterprises, Inc. (Elite Hospice of Buckhead)
• Elite Healthcare Group. LLC,
• Elite in Home Care LLC
• Elite Medical Serives of Georgia
• Elite Minds Peak Performance
• Elite Neurodiagnostics
• Elite Phlebotmy Enterprises L.C

• Infusion Therapy Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Infusion Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.