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ELITE PROVIDER GROUP PC
NPI 1205723434
Family Medicine in Grand Blanc, MI

Active since June 20, 2025
8423 HOLLY RD, GRAND BLANC, MI 48439(810) 579-0466 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 4, 2025, Aug 8, 2025, Jun 20, 2025 (3 updates tracked since 2025).

About Elite Provider Group Pc NPPES

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

ELITE PROVIDER GROUP PC (NPI 1205723434) is a healthcare organization registered as a family medicine in Grand Blanc, Michigan and active in the NPI registry since June 2025. The organization lists Crystal Chandler, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1205723434
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameELITE PROVIDER GROUP PC
Location Address8423 HOLLY RDGrand Blanc, MI 48439-2487
Mailing Address3495 S Center RdBurton, MI 48519-1455
Phone(810) 579-0466
Organization SubpartNo
Authorized OfficialCrystal ChandlerAuthorized Official · (810) 424-2136
Enumeration DateJune 20, 2025
Last NPPES UpdateSeptember 4, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1205723434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
8423 HOLLY RD, Grand Blanc, MI 48439
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

DR. MANISHA KIA D.O.
Family Medicine
8423 HOLLY RD
GRAND BLANC, MI 48439
Genesee County (810) 579-0466
GRAND BLANC OBSTETRICS & GYNECOLOGY PC
Obstetrics & Gynecology (Obstetrics)
8423 HOLLY RD, STE B
GRAND BLANC, MI 48439
Genesee County (810) 694-7095

Frequently Asked Questions

What is ELITE PROVIDER GROUP PC's NPI number?

The NPI number assigned to this healthcare provider is 1205723434, enumerated as an "organization" on June 20, 2025.

Where is the provider located?

The provider is located at 8423 HOLLY RD GRAND BLANC, MI 48439 and the phone number is (810) 579-0466.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.