Elite Medical Serives of Georgia

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

65394 Issued in GA

Legal business name

ELITE MEDICAL SERIVES OF GEORGIA

Practice address

7100 Peachtree Dunwoody Rd
Suite 100
Atlanta, GA 30328-1689

Phone

(678) 469-5011

NPI assigned

Jun 13, 2016

Organization subpart

Yes

Parent organization

ELITE MEDICAL SERIVES OF GEORGIAAs reported in NPPES

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

Authorized official

Name

Emma Cull

Title

Coo

Phone

(678) 469-5011

Specialties & licenses 1

Addresses

Tax ID family

Elite Medical Serives of Georgia2 organizations share this tax ID, including this one

Part of

Elite Medical Serives of Georgia

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Elite Medical Services of Georgia

  • Psychiatry Physician
  • Morrow, GA
  • NPI 1700233897
  NPD tax ID

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1881044659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 FAIRWAY RIDGE DR",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300225421",
            "telephone_number": "678-469-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 PEACHTREE DUNWOODY RD",
            "address_2": "SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303281689",
            "telephone_number": "678-469-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL SERIVES OF GEORGIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELITE MEDICAL SERIVES OF GEORGIA",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "CULL",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "678-469-5011"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "65394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Diagnostic Imaging LLC
• Elite Healthcare Enterprises, Inc. (Elite Hospice of Buckhead)
• Elite Healthcare Group. LLC,
• Elite Hydration Center
• Elite in Home Care LLC
• Elite Minds Peak Performance
• Elite Neurodiagnostics
• Elite Phlebotmy Enterprises L.C
• Elite Phlebotomy Concierge LLC
• Elite Prime Health

• Physical Medicine & Rehabilitation Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.