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ELITE MEDICAL GROUP
NPI 1700147063
Nurse Practitioner - Psychiatric/Mental Health in Lithonia, GA

Active since June 04, 2012
3965 GLEN PARK DR, LITHONIA, GA 30038(404) 561-5714 Get Directions Write a Review

NPPES record last updated: June 4, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elite Medical Group NPPES

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

ELITE MEDICAL GROUP (NPI 1700147063) is a healthcare organization registered as a psychiatric/mental health in Lithonia, Georgia and active in the NPI registry since June 2012. The organization lists Julian Suter, Owner, as its authorized official.

NPPES Registry Identity

NPI1700147063
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameELITE MEDICAL GROUP
Location Address3965 GLEN PARK DRLithonia, GA 30038-3692
Mailing Address3965 Glen Park DrLithonia, GA 30038-3692
Phone(404) 561-5714
Organization SubpartNo
Authorized OfficialJulian SuterOwner · (404) 561-5714
Enumeration DateJune 4, 2012
✔ NPI 1700147063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
3965 GLEN PARK DR, Lithonia, GA 30038
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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.

NP QUALITY HEALTHCARE, LLC
Clinic/Center (Primary Care)
3965 GLEN PARK DR
LITHONIA, GA 30038
Dekalb County (912) 246-0113

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 Group's NPI number?

The NPI number for Elite Medical Group is 1700147063. It was assigned to this organization in the NPPES registry on June 4, 2012.

Where is Elite Medical Group located?

Elite Medical Group is located at 3965 Glen Park Dr, Lithonia, GA 30038. The listed phone number is (404) 561-5714.

What is Elite Medical Group's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Elite Medical Group was last updated on June 4, 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.