Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ELITE MEDICAL GROUP OF CLARKSVILLE PLLC
NPI 1861364887
Family Medicine in Clarksville, TN

Active since September 19, 2025CLIA 44D2345020 · Waiver
150 ALFREDO DR STE A, CLARKSVILLE, TN 37042(270) 839-8054 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 23, 2026, Sep 19, 2025 (2 updates tracked since 2025).

About Elite Medical Group Of Clarksville Pllc NPPES

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

ELITE MEDICAL GROUP OF CLARKSVILLE PLLC (NPI 1861364887) is a healthcare organization registered as a family medicine in Clarksville, Tennessee and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through June 2, 2028 and lists Parth H Shah, Partner, as its authorized official.

NPPES Registry Identity

NPI1861364887
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameELITE MEDICAL GROUP OF CLARKSVILLE PLLC
Location Address150 ALFREDO DR STE AClarksville, TN 37042-0918
Mailing Address150 Alfredo Dr Ste AClarksville, TN 37042-0918 · (931) 271-7373 · Fax (931) 271-7377
Organization SubpartNo
Authorized OfficialParth H ShahPartner · (931) 271-7373
Enumeration DateSeptember 19, 2025
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
NPI 1861364887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
150 ALFREDO DR STE A, Clarksville, TN 37042

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2345020

Elite Medical Group Of Clarksville · Clarksville, TN
Active · expires Jun 2, 2028
CLIA Number44D2345020
Laboratory TypePhysician Office
Certificate Effective DateJune 3, 2026
Certificate Expiration DateJune 2, 2028
Laboratory DirectorShah C. Pankajkumar
Laboratory Phone(931) 271-7373
Laboratory LocationElite Medical Group Of Clarksville150 Alfredo Dr, Suite A, Clarksville, TN 37042
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Of Clarksville PLLC's NPI number?

The NPI number for Elite Medical Group Of Clarksville PLLC is 1861364887. It was assigned to this organization in the NPPES registry on September 19, 2025.

Where is Elite Medical Group Of Clarksville PLLC located?

Elite Medical Group Of Clarksville PLLC is located at 150 Alfredo Dr Ste A, Clarksville, TN 37042. The listed phone number is (270) 839-8054.

What is Elite Medical Group Of Clarksville PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Elite Medical Group Of Clarksville PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2345020) is associated with this NPI, valid through June 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elite Medical Group Of Clarksville PLLC was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 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.