1. Home
  2. Directory
  3. Virginia
  4. Suffolk
  5. Nurse Practitioner
  6. NPI Profile

ELITE PRIMARY CARE AND AESTHETICS LLC
NPI 1053119818
Nurse Practitioner - Family in Suffolk, VA

Active since March 06, 2025CLIA 49D2345051 · Waiver
5839 HARBOUR VIEW BLVD STE 101, SUFFOLK, VA 23435(757) 355-7244(877) 682-6096 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 13, 2026, Mar 6, 2025 (2 updates tracked since 2025).

About Elite Primary Care And Aesthetics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELITE PRIMARY CARE AND AESTHETICS LLC (NPI 1053119818) is a healthcare organization registered as a family in Suffolk, Virginia and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through June 3, 2028 and lists Asia Denise Gordon, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1053119818
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameELITE PRIMARY CARE AND AESTHETICS LLC
Location Address5839 HARBOUR VIEW BLVD STE 101Suffolk, VA 23435-3797
Mailing Address5839 Harbour View Blvd Ste 101Suffolk, VA 23435-3797 · (757) 271-4095 · Fax (877) 682-6096
Phone(757) 355-7244
Fax(877) 682-6096
Organization SubpartNo
Authorized OfficialAsia Denise GordonNurse Practitioner · (757) 271-4095
Enumeration DateMarch 6, 2025
Last NPPES UpdateMay 13, 20262 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1053119818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
5839 HARBOUR VIEW BLVD STE 101, Suffolk, VA 23435
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elite Primary Care And Aesthetics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Elite Primary Care And Aesthetics LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Asia Gordon, NP
Nurse Practitioner
NPI 1730651282
5839 HARBOUR VIEW BLVD STE 101
Suffolk, VA 23435
(757) 271-4095
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2345051

Elite Primary Care And Aesthetics · Suffolk, VA
Active · expires Jun 3, 2028
CLIA Number49D2345051
Laboratory TypePhysician Office
Certificate Effective DateJune 4, 2026
Certificate Expiration DateJune 3, 2028
Laboratory DirectorAsia D. Gordon
Laboratory Phone(757) 335-7244
Laboratory LocationElite Primary Care And Aesthetics5839 Harbour View Blvd Suite 101, Suffolk, VA 23435
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elite Primary Care And Aesthetics LLC's NPI number?

The NPI number for Elite Primary Care And Aesthetics LLC is 1053119818. It was assigned to this organization in the NPPES registry on March 6, 2025.

Where is Elite Primary Care And Aesthetics LLC located?

Elite Primary Care And Aesthetics LLC is located at 5839 Harbour View Blvd Ste 101, Suffolk, VA 23435. The listed phone number is (757) 355-7244.

What is Elite Primary Care And Aesthetics LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Elite Primary Care And Aesthetics LLC enrolled in Medicare?

Yes. Elite Primary Care And Aesthetics LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Primary Care And Aesthetics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Elite Primary Care And Aesthetics LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Elite Primary Care And Aesthetics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2345051) is associated with this NPI, valid through June 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elite Primary Care And Aesthetics LLC was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.