ELITE CARE FAMILY MEDICINE, LLC
NPI 1194128306
Clinic/Center - Primary Care in Guntown, MS

Active since October 01, 2014CLIA 25D2085360 · Certificate of Compliance
571 MITCHELL ST, STE C, GUNTOWN, MS 38849(662) 255-8324(662) 348-2772 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Elite Care Family Medicine, Llc NPPES

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

ELITE CARE FAMILY MEDICINE, LLC (NPI 1194128306) is a healthcare organization registered as a primary care in Guntown, Mississippi and active in the NPI registry since October 2014. The organization holds a CLIA Certificate of Compliance certificate valid through October 18, 2027 and lists Kevin Miller, Co Owner, as its authorized official.

NPPES Registry Identity

NPI1194128306
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameELITE CARE FAMILY MEDICINE, LLC
Location Address571 MITCHELL ST, STE CGuntown, MS 38849-8500
Mailing Address571 Mitchell St, Ste CGuntown, MS 38849-8500 · (662) 348-3342 · Fax (662) 348-2772
Fax(662) 348-2772
Organization SubpartNo
Authorized OfficialKevin MillerCo Owner · (662) 348-3342
Enumeration DateOctober 1, 2014
Last NPPES UpdateApril 19, 2023
NPPES CertifiedMarch 31, 2023
✔ NPI 1194128306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MS · 342
571 MITCHELL ST, Guntown, MS 38849

Accepted Insurance

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 Care Family Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Elite Care Family Medicine, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1598438483
571 MITCHELL ST STE C
Guntown, MS 38849
(662) 348-3342
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1588097471
571 MITCHELL ST SUITE C
Guntown, MS 38849
(662) 348-3342
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306615398
571 MITCHELL ST STE C
Guntown, MS 38849
(662) 348-3342
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1386500486
571 MITCHELL ST # C
Guntown, MS 38849
(662) 348-3342
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1932737202
159B WILLOWBROOK DRIVE
Saltillo, MS 38866
(662) 205-5508
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1811168578
3 CR 4050
Marietta, MS 38856
(662) 728-2408
✔ PECOS✔ Accepts Medicare12 mi

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 Compliance 25D2085360

Elite Care Family Medicine · Guntown, MS
Active · expires Oct 18, 2027
CLIA Number25D2085360
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2025
Certificate Expiration DateOctober 18, 2027
Laboratory DirectorKevin Abel
Laboratory Phone(662) 348-3342
Laboratory LocationElite Care Family Medicine571 Mitchell Street, Ste C, Guntown, MS 38849
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Care Family Medicine, LLC's NPI number?

The NPI number for Elite Care Family Medicine, LLC is 1194128306. It was assigned to this organization in the NPPES registry on October 1, 2014.

Where is Elite Care Family Medicine, LLC located?

Elite Care Family Medicine, LLC is located at 571 Mitchell St Ste C, Guntown, MS 38849. The listed phone number is (662) 255-8324.

What is Elite Care Family Medicine, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Elite Care Family Medicine, LLC enrolled in Medicare?

Yes. Elite Care Family Medicine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Care Family Medicine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Elite Care Family Medicine, 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. Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Elite Care Family Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D2085360) is associated with this NPI, valid through October 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Elite Care Family Medicine, LLC accept?

Health plans from Cigna Healthcare and Molina Healthcare list Elite Care Family Medicine, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elite Care Family Medicine, LLC was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.