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ELITE MEDICAL PHYSICIANS PC
NPI 1679787410
Specialist in Tucker, GA

Active since May 10, 2007
2892 MOUNTAIN INDUSTRIAL BLVD, TUCKER, GA 30084(678) 534-0452(678) 534-1534 Get Directions Write a Review

NPPES record last updated: June 25, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elite Medical Physicians Pc NPPES

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

ELITE MEDICAL PHYSICIANS PC (NPI 1679787410) is a healthcare organization registered as a specialist in Tucker, Georgia and active in the NPI registry since May 2007. The organization lists Louise A Brown, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1679787410
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameELITE MEDICAL PHYSICIANS PC
Location Address2892 MOUNTAIN INDUSTRIAL BLVDTucker, GA 30084-3014
Mailing Address2892 Mountain Industrial Blvd, P.o. Box 201Tucker, GA 30084-3014 · (678) 534-0452 · Fax (678) 534-1534
Phone(678) 534-0452
Fax(678) 534-1534
Organization SubpartNo
Authorized OfficialLouise A BrownOffice Manager · (678) 534-0452
Enumeration DateMay 10, 2007
Last NPPES UpdateJune 25, 2010
✔ NPI 1679787410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 038076
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2892 MOUNTAIN INDUSTRIAL BLVD, Tucker, GA 30084
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Other Identifiers 3

Medicaid000596626FGA
Medicare ID-Type Unspecified08BBQSLGA
Medicare UPINE56780GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

MS. VERA ANNETTE REAVES M.D.
Family Medicine
2892 MOUNTAIN INDUSTRIAL BLVD
TUCKER, GA 30084
Dekalb County (678) 534-0452
REGENESISDOC LLC
Clinic/Center (Multi-Specialty)
2892 MOUNTAIN INDUSTRIAL BLVD
TUCKER, GA 30084
Dekalb County (678) 825-5757

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 Medical Physicians PC's NPI number?

The NPI number for Elite Medical Physicians PC is 1679787410. It was assigned to this organization in the NPPES registry on May 10, 2007.

Where is Elite Medical Physicians PC located?

Elite Medical Physicians PC is located at 2892 Mountain Industrial Blvd, Tucker, GA 30084. The listed phone number is (678) 534-0452.

What is Elite Medical Physicians PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Elite Medical Physicians PC was last updated on June 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.