ELITE HEALTHCARE PHYSICAL MEDICINE
NPI 1669736120
General Practice in Carrollton, GA

Active since June 29, 2012
307 ADAMSON SQ, CARROLLTON, GA 30117(770) 214-9146(770) 214-9166 Get Directions Write a Review

NPPES record last updated: June 29, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elite Healthcare Physical Medicine NPPES

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

ELITE HEALTHCARE PHYSICAL MEDICINE (NPI 1669736120) is a healthcare organization registered as a general practice in Carrollton, Georgia and active in the NPI registry since June 2012. The organization lists Ryan C Weber, Owner, as its authorized official.

NPPES Registry Identity

NPI1669736120
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameELITE HEALTHCARE PHYSICAL MEDICINE
Location Address307 ADAMSON SQCarrollton, GA 30117-3213
Mailing Address307 Adamson SqCarrollton, GA 30117-3213 · (770) 214-9146 · Fax (770) 214-9166
Fax(770) 214-9166
Organization SubpartNo
Authorized OfficialRyan C WeberOwner · (770) 214-9146
Enumeration DateJune 29, 2012
✔ NPI 1669736120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in GA · 052922
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedChiropractor · RehabilitationTaxonomy 111NR0400X · License CHIR007565 (GA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN148627 (GA)
307 ADAMSON SQ, Carrollton, GA 30117

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

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 Healthcare Physical Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Elite Healthcare Physical Medicine, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Chiropractic
NPI 1588791941
307 ADAMSON SQ
Carrollton, GA 30117
(770) 214-9146
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1841315223
150 HENRY BURSON AVE SUITE 200
Carrollton, GA 30117
(770) 834-6302
✔ PECOS✔ Accepts Medicare0.8 mi
Internal Medicine
NPI 1962441493
204 ALLEN MEMORIAL DR STE 201
Bremen, GA 30110
(770) 537-6500
✔ PECOS✔ Accepts Medicare10 mi

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 Healthcare Physical Medicine's NPI number?

The NPI number for Elite Healthcare Physical Medicine is 1669736120. It was assigned to this organization in the NPPES registry on June 29, 2012.

Where is Elite Healthcare Physical Medicine located?

Elite Healthcare Physical Medicine is located at 307 Adamson Sq, Carrollton, GA 30117. The listed phone number is (770) 214-9146.

What is Elite Healthcare Physical Medicine's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Elite Healthcare Physical Medicine enrolled in Medicare?

Yes. Elite Healthcare Physical Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Healthcare Physical Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Elite Healthcare Physical Medicine, in Chiropractic, Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. 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 Healthcare Physical Medicine was last updated on June 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.