Elite Healthcare Group P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC562 Issued in TN

Legal business name

ELITE HEALTHCARE GROUP P.C.

Practice address

1335 Flowering Dogwood Lane
Dyersburg, TN 38024

Phone

(731) 286-2467

Fax

(731) 286-1178

NPI assigned

Jul 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John Noblin, D.C.NPI 1023289501

Title

Doctor - Ownership

Phone

(731) 286-2467

Specialties & licenses 1

Addresses

Other names 1

• Pain Relief and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

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

• John Allen Noblin, D.C.

  • Chiropractor
  • Dyersburg, TN
  • NPI 1023289501
  Medicare reassignment NPD Authorized official
• Brad F Creekmore, FNP

  • Nurse Practitioner
  • Dyersburg, TN
  • NPI 1487943676
  Medicare reassignment NPD

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1962601724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 FLOWERING DOGWOOD LANE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "38024",
            "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 LANE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "38024",
            "telephone_number": "731-286-2467",
            "fax_number": "731-286-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HEALTHCARE GROUP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "NOBLIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DOCTOR - OWNERSHIP",
        "authorized_official_telephone_number": "731-286-2467",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Relief and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dyersburg Practice Management, Inc.
• Dyersburg Radiation Oncology Center, L.L.C.
• Dyersburg Surgical Group, Inc.
• Dyersburg Uniform Shoppe
• Elite Dental Care Dyersburg
• Elite Healthcare Group PC
• Elite Wound Care LLC
• Jamie L Ellerbrook, APN
• Amy Diane Ellis, COTA/L
• Thomas Ellis, DPT

• Chiropractor in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.