Organization Active NPI

Elina Health Management LLC

  • Family Medicine Physician
  • Norcross, GA
National Provider Identifier
1922698281
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Aug 20, 2021

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.