NORTHEAST ELITE MEDICAL CLINIC, LLC
NPI 1497322325
Nurse Practitioner - Family in Columbia, SC

Q: What is Northeast Elite Medical Clinic, LLC's NPI number?

The NPI number for Northeast Elite Medical Clinic, LLC is 1497322325. It was assigned to this organization in the NPPES registry on June 9, 2021.

Q: What is Northeast Elite Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since June 09, 2021

136-4 FORUM DR, 1018, COLUMBIA, SC 29229(803) 836-8679(803) 800-2007 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Northeast Elite Medical Clinic, Llc NPPES

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

NORTHEAST ELITE MEDICAL CLINIC, LLC (NPI 1497322325) is a healthcare organization registered as a family in Columbia, South Carolina and active in the NPI registry since June 2021. The organization lists Paulette Rumph, Ceo, as its authorized official.

NPPES Registry Identity

NPI1497322325

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameNORTHEAST ELITE MEDICAL CLINIC, LLC

Location Address136-4 FORUM DR, 1018Columbia, SC 29229

Mailing Address136-4 Forum Dr, 1018Columbia, SC 29229 · (803) 836-8679 · Fax (803) 800-2007

Phone(803) 836-8679

Fax(803) 800-2007

Organization SubpartNo

Authorized OfficialPaulette RumphCeo · (803) 836-8679

Enumeration DateJune 9, 2021

NPPES CertifiedMay 21, 2021

✔ NPI 1497322325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Also ListedClinic/CenterTaxonomy 261Q00000X

Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X

136-4 FORUM DR, Columbia, SC 29229

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEARNING SERVICES HOME AND COMMUNITY LLC

In Home Supportive Care

136-4 FORUM DR, #163
COLUMBIA, SC 29229

Richland County (737) 600-5831

MRS. PAULETTE O'NEAL RUMPH

Nurse Practitioner (Family)

136-4 FORUM DR, 1018
COLUMBIA, SC 29229

Richland County (803) 836-8679

ELITE URGENT CARE LLC

Clinic/Center (Urgent Care)

136-4 FORUM DR, 1018
COLUMBIA, SC 29229

Richland County (803) 836-8679

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 Northeast Elite Medical Clinic, LLC's NPI number?

The NPI number for Northeast Elite Medical Clinic, LLC is 1497322325. It was assigned to this organization in the NPPES registry on June 9, 2021.

Where is Northeast Elite Medical Clinic, LLC located?

Northeast Elite Medical Clinic, LLC is located at 136-4 Forum Dr 1018, Columbia, SC 29229. The listed phone number is (803) 836-8679.

What is Northeast Elite Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Northeast Elite Medical Clinic, LLC was last updated on June 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.