ELITE FAITH MOBILE MEDICAL CLINIC PLLC
NPI 1407695653
Clinic/Center - Community Health in Gordonsville, VA
About Elite Faith Mobile Medical Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELITE FAITH MOBILE MEDICAL CLINIC PLLC (NPI 1407695653), doing business as Elite Faith Mobile Medical Clinic, is a healthcare organization registered as a community health in Gordonsville, Virginia and active in the NPI registry since May 2024. The organization lists Andrea Shepherd, Founder And Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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 Faith Mobile Medical Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Elite Faith Mobile Medical Clinic PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Faith Mobile Medical Clinic PLLC's NPI number?
The NPI number for Elite Faith Mobile Medical Clinic PLLC is 1407695653. It was assigned to this organization in the NPPES registry on May 20, 2024. The provider is doing business as Elite Faith Mobile Medical Clinic.
Where is Elite Faith Mobile Medical Clinic PLLC located?
Elite Faith Mobile Medical Clinic PLLC is located at 95 Kyle Ct, Gordonsville, VA 22942. The listed phone number is (434) 989-0484.
What is Elite Faith Mobile Medical Clinic PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.
Is Elite Faith Mobile Medical Clinic PLLC enrolled in Medicare?
Yes. Elite Faith Mobile Medical Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Elite Faith Mobile Medical Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Elite Faith Mobile Medical Clinic PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Elite Faith Mobile Medical Clinic PLLC was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Elite Faith Mobile Medical Clinic Pllc · NPI 1407695653
Community Health organization in Gordonsville, Virginia. Organization record, active in the CMS NPPES registry since May 20, 2024.
## Identity
- **NPI:** 1407695653 (Entity type: Organization)
- **Enumerated:** May 20, 2024
- **Primary specialty:** Clinic/Center - Community Health · taxonomy 261QC1500X
- **Also known as:** Elite Faith Mobile Medical Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Andrea Shepherd, FOUNDER AND CEO
## Practice location
- **Address:** 95 KYLE CT, Gordonsville, VA 22942-6249
- **Phone:** (434) 989-0484
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 20, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1407695653) · Data from the CMS NPPES public registry.