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ELITE PROVIDER GROUP PC
NPI 1619864840
Family Medicine in Burton, MI

Active since June 20, 2025
1096 S BELSAY RD STE C, BURTON, MI 48509(810) 743-3351 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 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 1619864840) is a healthcare organization registered as a family medicine in Burton, Michigan and active in the NPI registry since June 2025. The organization lists Crystal Chandler, Manager Of Provider Network, as its authorized official.

NPPES Registry Identity

NPI1619864840
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameELITE PROVIDER GROUP PC
Location Address1096 S BELSAY RD STE CBurton, MI 48509-1948
Mailing Address3495 S Center RdBurton, MI 48519-1455
Phone(810) 743-3351
Organization SubpartNo
Authorized OfficialCrystal ChandlerManager Of Provider Network · (810) 424-2136
Enumeration DateJune 20, 2025
Last NPPES UpdateSeptember 4, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1619864840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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
1096 S BELSAY RD STE C, Burton, MI 48509
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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

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

HENRY FORD MEDICAL GROUP GENESYS
Family Medicine
1096 S BELSAY RD STE C
BURTON, MI 48509
Genesee County (810) 743-3351

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 Provider Group PC's NPI number?

The NPI number for Elite Provider Group PC is 1619864840. It was assigned to this organization in the NPPES registry on June 20, 2025.

Where is Elite Provider Group PC located?

Elite Provider Group PC is located at 1096 S Belsay Rd Ste C, Burton, MI 48509. The listed phone number is (810) 743-3351.

What is Elite Provider Group PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Elite Provider Group PC was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.