Elite Aesthetics, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ELITE AESTHETICS, LLC

Doing business as

Elite Aesthetics Skin & Wellness Center

Practice address

3612 S Atlantic Ave
Daytona Beach Shores, FL 32118-7602

Phone

(386) 872-5442

Fax

(386) 872-3018

NPI assigned

Apr 21, 2020

Organization subpart

No

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

Authorized official

Name

Jessica Metakes, APRNNPI 1558872226

Title

Aprn/Owner

Phone

(386) 872-5442

Specialties & licenses 1

Addresses

Other names 1

• Elite Aesthetics Skin & Wellness Center Doing business as

Locations

Practitioners 3

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

• Jessica Metakes, APRN

  • Family Nurse Practitioner
  • Daytona Beach Shores, FL
  • NPI 1558872226
  NPD Authorized official
• Jillian Pona

  • Family Nurse Practitioner
  • Daytona Beach Shores, FL
  • NPI 1083363725
  NPD
• Dorey L. Taggart, A.R.N.P.

  • Family Nurse Practitioner
  • Daytona Beach, FL
  • NPI 1619995461
  NPD

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1831719756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 S PENINSULA DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321185706",
            "telephone_number": "386-872-5442",
            "fax_number": "386-872-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 S ATLANTIC AVE",
            "city": "DAYTONA BEACH SHORES",
            "state": "FL",
            "postal_code": "321187602",
            "telephone_number": "386-872-5442",
            "fax_number": "386-872-3018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 N Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "FL",
            "postal_code": "327711216",
            "country_code": "US",
            "telephone_number": "407-878-7993",
            "fax_number": "386-872-3018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4475 US Highway 1 S Ste 303",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320863205",
            "country_code": "US",
            "telephone_number": "386-872-5442",
            "fax_number": "386-872-3018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "213 S 2nd St Unit 3",
            "address_purpose": "LOCATION",
            "city": "Flagler Beach",
            "state": "FL",
            "postal_code": "321366610",
            "country_code": "US",
            "telephone_number": "386-338-3475",
            "fax_number": "386-872-3018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE AESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "METAKES",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "APRN/OWNER",
        "authorized_official_telephone_number": "386-872-5442",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Aesthetics Skin & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Demetrius Marketing LLC
• Douglas Ray Denison, DMD
• James Donald Dishman, D.C.
• Stacey Dominy, MA
• East Central Florida Outpatient Imaging, LLC (Radiology Associates Daytona Beach Shores)
• James Evensen, MA BCBA
• Zalika A Freeman
• Bettina Fulford, ARNP
• David Gaughan, M,D.
• Gerald R Woodard DO PA (Shores Medical Center)

• Clinic/Center in Daytona Beach Shores, FL
• Providers in Daytona Beach Shores, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.