Organization Active NPI

Elite Healthcare Group PC

  • Durable Medical Equipment & Medical Supplies
  • Dyersburg, TN
National Provider Identifier
1881986396
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ELITE HEALTHCARE GROUP PC
Practice address
1335 Flowering Dogwood LN
Dyersburg, TN 38024-2890
Phone
(731) 286-2467
Fax
(731) 286-1178
NPI assigned
May 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Mrs. April Beasley
Title
Office Manager
Phone
(731) 286-2467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X TN Primary

Addresses

Primary practice location

1335 Flowering Dogwood LN
Dyersburg, TN 38024-2890

Mailing address

1335 Flowering Dogwood LN
Dyersburg, TN 38024-2890
Phone (731) 286-2467

Other identifiers 1

IdentifierTypeStateIssuer
6480900001OtherTNMEDICARE PTAN

Other names 1

  • Pain Relief and Wellness Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1881986396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 FLOWERING DOGWOOD LN",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242890",
            "telephone_number": "731-286-2467",
            "fax_number": "731-286-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 FLOWERING DOGWOOD LN",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242890",
            "telephone_number": "731-286-2467",
            "fax_number": "731-286-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HEALTHCARE GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "731-286-2467",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "6480900001",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Relief and Wellness Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dyersburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.