ELITE HEALTHCARE PHYSICAL MEDICINE (NPI# 1669736120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669736120 |
| Entity Type | Organization |
| Organization Name | ELITE HEALTHCARE PHYSICAL MEDICINE |
| Practice Address |
307 Adamson Sq Carrollton GA 30117-3213 |
| Practice Telephone | 7702149146 |
| Practice Fax Number | 7702149166 |
| Mailing Telephone | 7702149146 |
| Mailing Fax Number | 7702149166 |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2012-06-29 |
| Authorized Official Name | DR. RYAN C WEBER (OWNER) |
| Authorized Official Telephone | 7702149146 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
CHIR007565 | GA | Chiropractic Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN148627 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 208D00000X | General Practice | 052922 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
307 ADAMSON SQ |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-3213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588791941 | Ryan Christopher Weber | Chiropractor | 307 Adamson Sq, Carrollton, GA 30117-3213 | 2007-02-27 |
| 1396937348 | A&w Chiropractic, Inc. | Chiropractor | 307 Adamson Sq, Carrollton, GA 30117-3213 | 2007-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114409133 | Little Lantern Clinic LLC | General Practice | 4541 N Josey Ln Ste 110c, Carrollton, TX 75010-4614 | 2018-09-06 |
| 1396284600 | Rebalance Wellness Centers, LLC | General Practice | 3012 E Hebron Pkwy Ste 116, Carrollton, TX 75010-4461 | 2017-02-20 |
| 1831347020 | David Scott Miller | General Practice | 1465 Kingsridge Rd, Carrollton, KY 41008-8672 | 2008-09-03 |
| 1881691459 | Ronald Lewis Proctor | General Practice | 3740 N Josey Ln, Ste 121, Carrollton, TX 75007-2471 | 2005-06-28 |
| 1083198691 | Complete Family Wellness Pllc | General Practice | 4125 Fairway Dr Ste 190, Carrollton, TX 75010-6506 | 2018-09-19 |
| 1538615695 | Life Restore Md | General Practice | 3012 E Hebron Pkwy, Suite 116, Carrollton, TX 75010-4464 | 2016-08-29 |
| 1013394279 | Roger A. Schroeder Md Sc | General Practice | 727 9th St, Carrollton, IL 62016-1427 | 2015-04-27 |
| 1861628117 | Southern Medical Family Clinic, Inc. | General Practice | 1927 E Belt Line Rd Ste 146, Carrollton, TX 75006-5814 | 2009-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638166 | Ihealthgp, LLC | General Practice | 10202 Masters Way, Alpharetta, GA 30005-8842 | 2020-10-29 |
| 1447861950 | Phynova Mso, LLC | General Practice | 1718 Peachtree St Nw Ste 380, Atlanta, GA 30309-2498 | 2020-08-10 |
| 1811507247 | Magnolia Medical Center LLC | General Practice | 101 Chase Ct Nw Ste B, Milledgeville, GA 31061-7188 | 2020-07-31 |
| 1952927279 | Total Health Solutions Medical Center | General Practice | 12220 Birmingham Hwy Ste A, Milton, GA 30004-4184 | 2020-06-23 |
| 1386260131 | Midnight Rose, LLC | General Practice | 6380 Bells Ferry Rd, Acworth, GA 30102-5435 | 2020-06-17 |
| 1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
| 1053946004 | Proactive Medical Center | General Practice | 3455 Peachtree Industrial Blvd Ste 910, Duluth, GA 30096-6502 | 2020-03-10 |
| 1285265546 | Idea Body Institute Atlanta Asc | General Practice | 371 E Paces Ferry Rd Ne Ste 450, Atlanta, GA 30305-3292 | 2020-01-27 |
| 1730729849 | Summit Health Primary and Urgent Care LLC | General Practice | 120 Handley Rd Bldg 400 Ste #410, Tyrone, GA 30290-3029 | 2020-01-07 |
| 1770121030 | New Life Medical Centers Georgia LLC | General Practice | 3550 Lenox Rd Ne Ste 2100, Atlanta, GA 30326-1810 | 2019-12-18 |
| Find all providers with the same taxonomy | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
Please comment or provide details below to improve the information on ELITE HEALTHCARE PHYSICAL MEDICINE.
| 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.