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

Q: 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.

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: August 02, 2026.

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

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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

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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

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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ASIA DENISE GORDON NP

Family Medicine

5839 HARBOUR VIEW BLVD STE 101
SUFFOLK, VA 23435

Suffolk City (757) 271-4095

1FOOT 2FOOT CENTRE FOR FOOT AND ANKLE CARE, PC

Durable Medical Equipment & Medical Supplies

5839 HARBOUR VIEW BLVD STE 101
SUFFOLK, VA 23435

Suffolk City (757) 934-0768

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.

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 2 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.