ELITE EMERGENCY SERVICES, PLLC (NPI# 1548338494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548338494 |
| Entity Type | Organization |
| Organization Name | ELITE EMERGENCY SERVICES, PLLC |
| Practice Address |
705 E Poplar Ave Selmer TN 38375-1828 |
| Mailing Address |
12 Cadillac Drive Suite 150 Brentwood TN 37027-5355 |
| Practice Telephone | 7316453221 |
| Mailing Telephone | 6159286275 |
| Mailing Fax Number | 6157605985 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2015-08-14 |
| Authorized Official Name | SAMUEL C. CLEMMONS (PRESIDENT) |
| Authorized Official Telephone | 6159286275 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 318341149 | TN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD | DD8344 | 01 | |
| TN | 3729999 | 05 | |
| TN | BCBS PROVIDER # | 4103935 | 01 |
| Street Address |
705 E POPLAR AVE |
| City | SELMER |
| State | TN |
| Zip Code | 38375-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154392710 | Mcnairy Hospital Corporation | General Acute Care Hospital | 705 E Poplar Ave, Selmer, TN 38375-1828 | 2006-01-31 |
| 1770909285 | Cormorant Emergency Physicians LLC | Emergency Medicine | 705 E Poplar Ave, Selmer, TN 38375-1828 | 2014-03-07 |
| 1619221843 | Sara Coleman Depew | Occupational Therapist | 705 E Poplar Ave, Ste 101, Selmer, TN 38375-1828 | 2012-11-09 |
| 1346557824 | Ellen Elizabeth Cole-wesson | Occupational Therapist | 705 E Poplar Ave, Suite 101, Selmer, TN 38375-1828 | 2010-09-07 |
| 1306164900 | Memphis Hand Centers | Occupational Therapist | 705 E Poplar Ave, Suite 101, Selmer, TN 38375-1828 | 2010-05-07 |
| 1972721850 | Paul A Avenel | Emergency Medicine | 705 E Poplar Ave, Selmer, TN 38375-1828 | 2007-04-23 |
| 1841301488 | Ambulance Services of Mcnairy, Inc. | Ambulance | 705 E Poplar Ave, Selmer, TN 38375-1828 | 2006-08-31 |
| 1386692606 | Mcnairy Clinic Corp | Obstetrics & Gynecology | 705 E Poplar Ave, Selmer, TN 38375-1828 | 2006-05-05 |
| 1750345807 | James Daniel Baxter | Obstetrics & Gynecology | 705 E Poplar Ave, Selmer, TN 38375-1828 | 2006-04-14 |
| 1871564385 | Mcnairy Hospital Corporation | Medicare Defined Swing Bed Unit | 705 E Poplar Ave, Selmer, TN 38375-1828 | 2006-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154699312 | Nicholas Matters Inc. | Community Based Residential Treatment Facility, Mental Illness | 191 Crabtree Road, Selmer, TN 38375 | 2011-12-02 |
| 1760786479 | Crystal Rose Wilson | Nurse Practitioner | 699 E. Poplar Ave, Selmer, TN 38375 | 2011-01-10 |
| 1699098335 | Sonia Ann Berry | Physical Therapist | 270 E. Court Ave, Suite B, Selmer, TN 38375 | 2010-03-09 |
| 1447386875 | Gregory L Wilson | Dentist | 710 Federal Drive, Selmer, TN 38375 | 2007-02-27 |
| 1184774333 | State of Tennessee | Public Health or Welfare | 725 East Poplar, Selmer, TN 38375 | 2007-01-11 |
| 1114085453 | Bobby Shawn Pitts | Chiropractor | 134 Warren Ave., Selmer, TN 38375 | 2006-12-05 |
| 1104995760 | James Hagy Smith | General Practice | 132 Houston Ave, Selmer, TN 38375 | 2006-11-07 |
| 1467567255 | Sherry M Moore | Registered Nurse | One Prime Care Drive, Selmer, TN 38375 | 2006-08-20 |
| 1568575249 | Ronnie Lee Fullwood | Dentist | 177 Court Ave, Selmer, TN 38375 | 2006-08-16 |
| 1902828627 | Hunter Wade Robertson | Physical Therapist | 1027 Mulberry Av, Selmer, TN 38375 | 2006-07-24 |
| Find all providers in zip 38375 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288755 | Indi Arrington Shelton | Contractor | 1904 Meharry Blvd # 3, Nashville, TN 37208-2900 | 2020-09-04 |
| 1962021568 | Roberto Antonio Moreno Gonzalez | Contractor | 10226 Stellata Ln, Apison, TN 37302-1706 | 2020-04-13 |
| 1184261299 | Chester Arthur Ashford Jr. | Contractor | 10257 Eveninghill Dr, Cordova, TN 38016-0334 | 2019-12-09 |
| 1104469147 | Tami Lea Davis | Contractor | 3608 Highway 230, Hurricane Mills, TN 37078-2163 | 2019-10-22 |
| 1093366569 | Lisa Isom | Contractor | 485 Hazelwood Rd, Memphis, TN 38109-3259 | 2019-09-25 |
| 1366002396 | Thomas Eddins | Contractor | 4646 Poplar Ave Ste 437, Memphis, TN 38117-4443 | 2019-06-20 |
| 1124588082 | Mary Campbell | Contractor | 6220 Shallowford Rd Apt 573, Chattanooga, TN 37421-6921 | 2019-03-25 |
| 1275090649 | Cure Orthopedics, LLC | Contractor | 4327 Signal Hill Dr, Nashville, TN 37205-3821 | 2019-02-21 |
| 1306302021 | Antuan Eugenia Cornelius | Contractor | 813 Peachers Mill Rd, Clarksville, TN 37042-5419 | 2019-02-18 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.