Provider Type Icon

ELITE MEDICAL ASSOCIATES LLC NPI 1750903274


NPI Information

NPI: 1750903274
Provider Name: ELITE MEDICAL ASSOCIATES LLC

Doing Business As: ELITE MEDICAL ASSOCIATES LLC

Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

Address:
6290 MCDONOUGH DR STE D2
NORCROSS, GA
ZIP 30093
Phone: (770) 870-9481
Get Directions

ELITE MEDICAL ASSOCIATES LLC is an emergency care clinic center in Norcross, GA. ELITE MEDICAL ASSOCIATES LLC NPI is 1750903274. The provider is registered as an organization entity type.
The provider Is Doing Business As Elite Medical Associates Llc.

The provider's business location address is:

6290 MCDONOUGH DR STE D2
NORCROSS, GA
ZIP 30093-203
Phone: (770) 870-9481

The provider's authorized official is Tyler Penrod .
The authorized official title is Biller and has the following contact phone number (305) 900-4715.

The enumeration date for this NPI number is 5/7/2020 and was last updated on 4/28/2021.


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
1261QE0002XClinic/CenterEmergency CareYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.