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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ELITE CROWNING GLORY LLC
NPI 1669385100
Prosthetic/Orthotic Supplier in Jesup, GA

Active since September 25, 2026

NPPES record added: September 25, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Elite Crowning Glory Llc NPPES

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

ELITE CROWNING GLORY LLC (NPI 1669385100) is a healthcare organization registered as a prosthetic/orthotic supplier in Jesup, Georgia and active in the NPI registry since September 2026. The organization lists Angela Darden-rivers, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1669385100
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameELITE CROWNING GLORY LLC
Location Address413 N 5TH STJesup, GA 31545-1024
Mailing Address1425 E Oglethorpe Hwy # 1002Hinesville, GA 31313-1219 · (912) 630-7678
Phone(912) 630-7678
Organization SubpartNo
Authorized OfficialAngela Darden-riversCeo/owner · (912) 630-7678
Enumeration DateSeptember 25, 2026
NPPES CertifiedSeptember 23, 2026
✔ NPI 1669385100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
413 N 5TH ST, Jesup, GA 31545
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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 Crowning Glory LLC's NPI number?

The NPI number for Elite Crowning Glory LLC is 1669385100. It was assigned to this organization in the NPPES registry on September 25, 2026.

Where is Elite Crowning Glory LLC located?

Elite Crowning Glory LLC is located at 413 N 5th St, Jesup, GA 31545. The listed phone number is (912) 630-7678.

What is Elite Crowning Glory LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Elite Crowning Glory LLC was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.