SOUTHERN ELITE CARE LLC
NPI 1366265449
Family Medicine in Tifton, GA

Q: What is Southern Elite Care LLC's NPI number?

The NPI number for Southern Elite Care LLC is 1366265449. It was assigned to this organization in the NPPES registry on November 6, 2024.

Q: What is Southern Elite Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since November 06, 2024CLIA 11D2317676 · Waiver

1499 KENNEDY RD STE B, TIFTON, GA 31794(229) 238-3034(229) 238-3027 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Southern Elite Care Llc NPPES

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

SOUTHERN ELITE CARE LLC (NPI 1366265449) is a healthcare organization registered as a family medicine in Tifton, Georgia and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through January 28, 2027 and lists Jonathan W Tronolone, Owner, as its authorized official.

NPPES Registry Identity

NPI1366265449

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSOUTHERN ELITE CARE LLC

Location Address1499 KENNEDY RD STE BTifton, GA 31794-4177

Mailing Address1499 Kennedy Rd Ste BTifton, GA 31794-4177 · (229) 238-3034 · Fax (229) 238-3027

Phone(229) 238-3034

Fax(229) 238-3027

Organization SubpartNo

Authorized OfficialJonathan W TronoloneOwner · (229) 238-3034

Enumeration DateNovember 6, 2024

NPPES CertifiedNovember 6, 2024

✔ NPI 1366265449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

1499 KENNEDY RD STE B, Tifton, GA 31794

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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 11D2317676

Southern Elite Care · Tifton, GA

Active · expires Jan 28, 2027

CLIA Number11D2317676

Laboratory TypePhysician Office

Certificate Effective DateJanuary 29, 2025

Certificate Expiration DateJanuary 28, 2027

Laboratory DirectorJonathan W. Tronolone

Laboratory Phone(229) 920-4970

Laboratory LocationSouthern Elite Care1499 Kennedy Road, Tifton, GA 31794

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 Southern Elite Care LLC's NPI number?

The NPI number for Southern Elite Care LLC is 1366265449. It was assigned to this organization in the NPPES registry on November 6, 2024.

Where is Southern Elite Care LLC located?

Southern Elite Care LLC is located at 1499 Kennedy Rd Ste B, Tifton, GA 31794. The listed phone number is (229) 238-3034.

What is Southern Elite Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Southern Elite Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2317676) is associated with this NPI, valid through January 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern Elite Care LLC was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.