Active NPI
Elina Health Management LLC
- Family Medicine Physician
- Norcross, GA
National Provider Identifier
1922698281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ELINA HEALTH MANAGEMENT LLC
- Practice address
- 5380 Peachtree Industrial Blvd Ste 150
Norcross, GA 30071-1565 - Phone
- (470) 275-4911
- Fax
- (470) 545-0405
- NPI assigned
- Jan 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ahmed Elgawabra
- Title
- Owner
- Phone
- (904) 859-7809
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
5380 Peachtree Industrial Blvd Ste 150
Norcross, GA 30071-1565
Mailing address
5380 Peachtree Industrial Blvd Ste 150
Norcross, GA 30071-1565
Other names 1
- Peachtree Urgent Care and Family Practice
National Provider Directory
National Provider DirectoryLocations
5380 Peachtree Industrial Blvd
#S150
Norcross, GA 30071
Phone (706) 391-4775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629417600000",
"number": "1922698281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5380 PEACHTREE INDUSTRIAL BLVD STE 150",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300711565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5380 PEACHTREE INDUSTRIAL BLVD STE 150",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300711565",
"telephone_number": "470-275-4911",
"fax_number": "470-545-0405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELINA HEALTH MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-21",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A",
"authorized_official_last_name": "ELGAWABRA",
"authorized_official_first_name": "AHMED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-859-7809"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Peachtree Urgent Care and Family Practice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.