ELITE SPECTRUM CARE


Address: 3535 Peachtree Rd Ne, Ste 520-230, Atlanta, GA 30326-3287
Phone: 6782495229

ELITE SPECTRUM CARE (NPI# 1639549504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639549504
Entity Type Organization
Organization Name ELITE SPECTRUM CARE
Practice Address 3535 Peachtree Rd Ne
Ste 520-230
Atlanta
GA 30326-3287
Practice Telephone 6782495229
Enumeration Date 2015-10-04
Last Update Date 2016-08-23
Authorized Official Name LAKESHIA WELLS (OWNER)
Authorized Official Telephone 6782495229
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302F00000X Exclusive Provider Organization Managed Care Organizations

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1932632494 Elite Spectrum Care In Home Supportive Care 875 N Eldridge Pkwy Apt 317, Houston, TX 77079-2736 2017-04-11
1750822318 Elite Spectrum Care Behavioral Analyst 875 N Eldridge Pkwy, 317, Houston, TX 77079-2707 2017-03-16

Office Location

Street Address 3535 PEACHTREE RD NE
STE 520-230
City ATLANTA
State GA
Zip Code 30326-3287

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Taxonomy Information

Taxonomy Code 302F00000X
Grouping Managed Care Organizations
Classification Exclusive Provider Organization

Taxonomy Definition

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

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Competitor

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City ATLANTA
Zip Code 30326

Improve Information

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Dataset Information

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.

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