Elite Oculoplastics PLLC

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

Legal business name

ELITE OCULOPLASTICS PLLC

Practice address

2001 Mallory LN Ste 105
Franklin, TN 37067-8220

Phone

(615) 250-0885

Fax

(615) 490-8779

NPI assigned

Feb 7, 2020

Organization subpart

No

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

Authorized official

Name

Kelly Everman, MDNPI 1730181090

Title

Owner

Phone

(615) 250-0885

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

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

• Kelly R Everman, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Nashville, TN
  • NPI 1730181090
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1861024895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MALLORY LN STE 105",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678220",
            "telephone_number": "615-250-0885",
            "fax_number": "615-490-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MALLORY LN STE 105",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678220",
            "telephone_number": "615-250-0885",
            "fax_number": "615-490-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE OCULOPLASTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "EVERMAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-250-0885",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elite Physical Therapy and Associates LLC
• Elite Sports Medicine and Orthopaedic Center, PLC
• Amanda Elkin, MS, LPC-MHSP
• Emma Elkins
• Martha Elizabeth Elkins, R.D.H.

• Ophthalmic Plastic and Reconstructive Surgery Physician in Franklin, TN
• Providers in Franklin, TN by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.