ELITE MINDS PEAK PERFORMANCE NPI 1003769993

NPI Information

  • NPI: 1003769993
  • Provider Name: ELITE MINDS PEAK PERFORMANCE
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 1870 THE EXCHANGE SE STE 220
    ATLANTA, GA
    ZIP 30339
  • Phone: (269) 352-3753

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NPI Details

ELITE MINDS PEAK PERFORMANCE is a family nurse practitioner in Atlanta, GA. ELITE MINDS PEAK PERFORMANCE NPI is 1003769993. The provider is registered as an organization entity type.

The provider's business location address is:

1870 THE EXCHANGE SE STE 220
ATLANTA, GA
ZIP 30339-171
Phone: (269) 352-3753
Fax: (269) 352-3753

The provider's authorized official is Milena Mask .
The authorized official title is Ceo/owner and has the following contact phone number (269) 352-3753.

The enumeration date for this NPI number is 2/19/2026 and was last updated on 2/19/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthNo
2251S00000XCommunity/Behavioral HealthNo
3363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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