1. Home
  2. Directory
  3. Mississippi
  4. Tupelo
  5. Clinic Center
  6. NPI Profile

ELITE MEDICAL, PLLC
NPI 1871887661
Clinic/Center in Tupelo, MS

Active since June 08, 2011
2633 TRACELAND DR, TUPELO, MS 38801(662) 205-4652(662) 205-4651 Get Directions Write a Review

NPPES record last updated: October 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elite Medical, Pllc NPPES

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

ELITE MEDICAL, PLLC (NPI 1871887661) is a healthcare organization registered as a clinic/center in Tupelo, Mississippi and active in the NPI registry since June 2011. The organization lists Anne Dye Haire, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1871887661
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameELITE MEDICAL, PLLC
Location Address2633 TRACELAND DRTupelo, MS 38801-4238
Mailing AddressPo Box 2484Tupelo, MS 38803-2484 · (662) 205-4652 · Fax (662) 205-4651
Phone(662) 205-4652
Fax(662) 205-4651
Organization SubpartNo
Authorized OfficialAnne Dye HaireOwner/physician · (662) 205-4652
Enumeration DateJune 8, 2011
Last NPPES UpdateOctober 22, 2013
✔ NPI 1871887661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in MS · 16935
Definition
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).
2633 TRACELAND DR, Tupelo, MS 38801
Open in Google Maps ↗

Other Identifiers 2

Medicaid00126275MS
Medicare PIN080003621MS

Other Providers at the Same Location NPPES 3

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

DEVAN RICHARDSON DPT
Physical Therapist
2633 TRACELAND DR
TUPELO, MS 38801
Lee County (662) 554-9699
FORD PHYSICAL THERAPY PLLC
Physical Therapist
2633 TRACELAND DR
TUPELO, MS 38801
Lee County (662) 416-3909
MRS. LAUREN MCGEE BABB FNP-C
Nurse Practitioner
2633 TRACELAND DR
TUPELO, MS 38801
Lee County (662) 205-4652

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, PLLC's NPI number?

The NPI number for Elite Medical, PLLC is 1871887661. It was assigned to this organization in the NPPES registry on June 8, 2011.

Where is Elite Medical, PLLC located?

Elite Medical, PLLC is located at 2633 Traceland Dr, Tupelo, MS 38801. The listed phone number is (662) 205-4652.

What is Elite Medical, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Elite Medical, PLLC was last updated on October 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.