Active NPI
Elite Medical Memphis
- Rehabilitation Chiropractor
- Memphis, TN
National Provider Identifier
1972061596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Rehabilitation Chiropractor | 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 DirectoryLocations
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.