ELITE MEDICAL ASSOCIATES LLC (NPI# 1750903274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750903274 |
| Entity Type | Organization |
| Organization Name | ELITE MEDICAL ASSOCIATES LLC |
| Practice Address |
6290 Mcdonough Dr Ste D Norcross GA 30093-1291 |
| Mailing Address |
8920 Firestone Cir Duluth GA 30097-6627 |
| Practice Telephone | 7708709481 |
| Mailing Telephone | 7708709481 |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |
| Authorized Official Name | MR. DARRELL LAVON JOHNSON (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 5613566313 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ELITE MEDICAL ASSOCIATES LLC | Doing Business As Name - Organization |
| Street Address |
6290 MCDONOUGH DR STE D |
| City | NORCROSS |
| State | GA |
| Zip Code | 30093-1291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336761923 | Majl Diagnostic Laboratories LLC | Clinical Medical Laboratory | 6290 Mcdonough Dr Ste D, Norcross, GA 30093-1291 | 2020-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1922643485 | Anthony Ervin | Case Manager/Care Coordinator | 6251 Smithpoint Dr. Bldg B, Peachtree Corners, GA 30093 | 2019-11-08 |
| 1164908885 | Marianne Altares | Speech-Language Pathologist | 1709 Oakbrook Lake Dr, Norcross, GA 30093 | 2018-07-16 |
| 1518480763 | Braces Now 14, LLC | Dentist | 4141 Steve Reynolds Blvd, Suite 2, Norcross, GA 30093 | 2017-07-19 |
| 1457802902 | Audrey Fernandes | Dentist | 4846 Jimmy Carter Blvd, Suite 203, Norcross, GA 30093 | 2016-10-19 |
| 1922456318 | Diana Lleras | Counselor | 6020 Dawson Bld Suite I, Norcross, GA 30093 | 2016-05-26 |
| 1376941500 | Katerine Velez | Counselor | 6020 Dawson Blvd., Siute I, Norcross, GA 30093 | 2014-12-22 |
| 1679979017 | Allison Ballay Donnelly | Speech-Language Pathologist | 1626 Jeurgens Ct., Norcross, GA 30093 | 2014-11-12 |
| 1588913701 | Sunrise Pharmacy | Pharmacy | 1235 Indian Trail Rd, Suite 200a, Norcross, GA 30093 | 2012-09-04 |
| 1821347154 | Shakirah Forde | Counselor | 1770 Indian Trail Lilburn Rd Ste 120, Norcross, GA 30093 | 2012-08-31 |
| Find all providers in zip 30093 | ||||
| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972112795 | Covid Community Testing LLC | Clinic/Center | 1015 Saranac Park, Peachtree City, GA 30269-1274 | 2020-07-28 |
| 1487058780 | Us Army | Clinic/Center | 703 E 9 Street, Fort Stewart, GA 31314 | 2014-10-15 |
| 1801104237 | South Atlanta Urgent Care Clinic, LLC. | Clinic/Center | 5185 Old National Highway, Atlanta, GA 30349 | 2010-09-20 |
| 1972780369 | Lifepointe Medical | Clinic/Center | 212 Ga Highway 49 N, Suite, Byron, GA 31008-4057 | 2008-01-28 |
| 1346441078 | Emergency Care Usa Georgia P.C. | Clinic/Center | 660 W Crossville Rd Ste 110, Roswell, GA 30075-7525 | 2007-05-30 |
| 1417011099 | Pacific Medical LLC | Clinic/Center | 1730 Mount Vernon Rd, Suite B, Dunwoody, GA 30338-4245 | 2006-12-20 |
| 1306831615 | Terrell Co Ems | Clinic/Center | 240 Johnson St Se, Dawson, GA 39842-1486 | 2005-09-13 |
| 1194258129 | Lifebrite Hospital Group of Early LLC | Clinic/Center | 11740 Columbia St, Blakely, GA 39823-2574 | 2017-04-06 |
| 1962820845 | Modern Emergent Care, LLC | Clinic/Center | 5505 Roswell Rd, Suite 100, Atlanta, GA 30342-1985 | 2014-03-28 |
| 1699080762 | Pioneer Health Services of Early County, LLC | Clinic/Center | 11740 Columbia St, Blakely, GA 39823-2574 | 2010-08-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ELITE MEDICAL ASSOCIATES LLC.
| 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.