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

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

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

Active since September 19, 2025CLIA 44D2345020 · Waiver

150 ALFREDO DR STE A, CLARKSVILLE, TN 37042(931) 271-7373(931) 271-7377 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 17, 2026, Jul 23, 2026, Sep 19, 2025 (3 updates tracked since 2025).

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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

Phone(931) 271-7373

Fax(931) 271-7377

Organization SubpartNo

Authorized OfficialParth H ShahPartner · (931) 271-7373

Enumeration DateSeptember 19, 2025

Last NPPES UpdateSeptember 17, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 17, 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

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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 Medical Group Of Clarksville Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Elite Medical Group Of Clarksville PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Parth Shah, MD

Family Practice

NPI 1558596742

320 W 18TH ST
Hopkinsville, KY 42240

(270) 887-0100

✔ PECOS✔ Accepts Medicare19 mi

Pankajkumar Shah, M.D.

Internal Medicine

NPI 1043412356

320 W 18TH ST
Hopkinsville, KY 42240

(270) 887-0100

✔ PECOS✔ Accepts Medicare19 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 (931) 271-7373.

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

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

Is Elite Medical Group Of Clarksville PLLC enrolled in Medicare?

Yes. Elite Medical Group Of Clarksville PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Medical Group Of Clarksville PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Elite Medical Group Of Clarksville PLLC, in Family Practice and Internal Medicine. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

What insurance does Elite Medical Group Of Clarksville PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Elite Medical Group Of Clarksville PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elite Medical Group Of Clarksville PLLC was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 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.