Organization Active NPI

Elite Medical Memphis

  • Rehabilitation Chiropractor
  • Memphis, TN
National Provider Identifier
1972061596
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
ELITE MEDICAL MEMPHIS
Practice address
2400 Poplar Ave Ste 211a
Memphis, TN 38112-3209
Phone
(901) 701-1063
NPI assigned
Mar 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Authorized official

Name
Emma Cull
Title
Coo
Phone
(678) 469-5011

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

2400 Poplar Ave Ste 211a
Memphis, TN 38112-3209

Mailing address

1568 Southlake Pkwy
Morrow, GA 30260-4153

Other practice location 1

7981 Dexter Rd Ste 101
Cordova, TN 38016-8798
Phone (901) 701-1063

National Provider Directory

National Provider Directory

Locations

151 E Main St
Canton, GA 30114

2400 Poplar Ave
Ste 211A
Memphis, TN 38112
Phone (901) 701-1063

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1972061596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1568 SOUTHLAKE PKWY",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302604153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 POPLAR AVE STE 211A",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381123209",
            "telephone_number": "901-701-1063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7981 Dexter Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380168798",
            "country_code": "US",
            "telephone_number": "901-701-1063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE MEDICAL MEMPHIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "CULL",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "678-469-5011"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "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 Jul 1, 2020; 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.