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ELITE MEDICAL CLINIC, LLC
NPI 1407505142
Clinic/Center - Multi-Specialty in Douglas, GA

Active since March 21, 2022
1204 OCILLA RD, DOUGLAS, GA 31533(912) 393-5120 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Elite Medical Clinic, Llc NPPES

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

ELITE MEDICAL CLINIC, LLC (NPI 1407505142) is a healthcare organization registered as a multi-specialty in Douglas, Georgia and active in the NPI registry since March 2022. The organization lists Teresa Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1407505142
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameELITE MEDICAL CLINIC, LLC
Location Address1204 OCILLA RDDouglas, GA 31533-2220
Mailing Address1204 Ocilla RdDouglas, GA 31533-2220 · (912) 393-5120
Phone(912) 393-5120
Organization SubpartNo
Authorized OfficialTeresa WilsonOwner · (912) 393-5120
Enumeration DateMarch 21, 2022
NPPES CertifiedMarch 21, 2022
✔ NPI 1407505142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1204 OCILLA RD, Douglas, GA 31533
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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 Medical Clinic, LLC's NPI number?

The NPI number for Elite Medical Clinic, LLC is 1407505142. It was assigned to this organization in the NPPES registry on March 21, 2022.

Where is Elite Medical Clinic, LLC located?

Elite Medical Clinic, LLC is located at 1204 Ocilla Rd, Douglas, GA 31533. The listed phone number is (912) 393-5120.

What is Elite Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Elite Medical Clinic, LLC was last updated on March 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.