NPIMap

Organization Active NPI

Elite Total Health Inc

  • Health Maintenance Organization
  • Memphis, TN
National Provider Identifier
1952819872
Registry record updated Jan 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
ELITE TOTAL HEALTH INC
Practice address
263 S Main St
Memphis, TN 38103-3907
Phone
(901) 379-8140
NPI assigned
Jan 12, 2018
Last updated
Jan 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2018

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

Authorized official

Name
Christina S Brown
Title
NP/Owner
Phone
(901) 679-2387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

263 S Main St
Memphis, TN 38103-3907

Mailing address

263 S Main St
Memphis, TN 38103-3907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181217000355 TN Part B Supplier - Clinic/Group Practice 1759626930 Receives reassigned benefits from 3 practitioners
Practice locations: Memphis, TN

National Provider Directory

National Provider Directory

Locations

263 S Main St
Memphis, TN 38103
Phone (901) 238-0384

364 S Front St
Ste 101
Memphis, TN 38103
Phone (662) 292-0169

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515715200000",
    "number": "1952819872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 S MAIN ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 S MAIN ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033907",
            "telephone_number": "901-379-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE TOTAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-01-12",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "NP/OWNER",
        "authorized_official_telephone_number": "901-679-2387"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.