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ELITE IV HYDRATION AND WELLNESS
NPI 1730843202
Clinic/Center in Mcdonough, GA

Active since October 29, 2021
823 PAVILION CT, MCDONOUGH, GA 30253(404) 965-5715 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Secondary Taxonomies
  4. Authorized Official
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center

About ELITE IV HYDRATION AND WELLNESS

This page provides the complete NPI Profile along with additional information for Elite Iv Hydration And Wellness, a provider established in Mcdonough, Georgia operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1730843202 assigned on October 2021. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mrs. Tanika Ramsey Powell Dnd, Aprn, Np-c (Nurse Practitioner/owner)

NPI
1730843202 Verify this NPI
Provider Name
ELITE IV HYDRATION AND WELLNESS
Entity Type
Organization
Location Address
823 PAVILION CT MCDONOUGH, GA 30253
Location Phone
(404) 965-5715
Mailing Address
5916 EAST LAKE PKWY SUITE 324 MCDONOUGH, GA 30253
Mailing Phone
(706) 399-4601
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-29-2021
Last Update Date
06-30-2023
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization		 License No. (State)
1291U00000XLaboratories

Clinical Medical Laboratory

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. TANIKA RAMSEY POWELL DND, APRN, NP-C

Authorized Official Title
NURSE PRACTITIONER/OWNER
Authorized Official Phone
(706) 399-4601

Reviews for ELITE IV HYDRATION AND WELLNESS

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Frequently Asked Questions

What is ELITE IV HYDRATION AND WELLNESS's NPI number?

The NPI number assigned to this healthcare provider is 1730843202, enumerated as an "organization" on October 29, 2021.

Where is the provider located?

The provider is located at 823 PAVILION CT MCDONOUGH, GA 30253 and the phone number is (404) 965-5715.

What is the provider's specialty?

Clinic/Center with taxonomy code 261Q00000X.