Elite Podiatry Inc

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

ELITE PODIATRY INC

Practice address

102 Essex CT
Ste a
Madison, AL 35758-3160

Phone

(256) 541-7345

NPI assigned

Sep 25, 2015

Organization subpart

No

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

Authorized official

Name

Tiffany Hice

Title

Ceo

Phone

(256) 541-7345

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443139200000",
    "number": "1942670575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ESSEX CT",
            "address_2": "STE A",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583160",
            "telephone_number": "256-541-7345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ESSEX CT",
            "address_2": "STE A",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583160",
            "telephone_number": "256-541-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PODIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-25",
        "last_updated": "2015-09-25",
        "status": "A",
        "authorized_official_last_name": "HICE",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-541-7345"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Elizabeth Elder
• Elderride
• Joan Eldridge, NURSE PRACTITIONER
• Elite Group Solutions, LLC
• Elite Pediatric Solutions LLC
• Elizabeth Webb, LLC
• Hally B. Elliot, LICSW
• Tresa L Elliott, PH D
• Deloria Jean Ellis, ALC
• Jacob Brannon Ellis

• Podiatric Clinic/Center in Madison, AL
• Providers in Madison, AL by specialty
• Podiatric Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; 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.