ELITE PREFERRED HEALTHCARE INC – NPI #1649096777
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

ELITE PREFERRED HEALTHCARE INC is a provider located in BROOKHAVEN, GA. NPPES has assigned the NPI number 1649096777 to ELITE PREFERRED HEALTHCARE INC on November 22, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELITE PREFERRED HEALTHCARE INC below.

NPI Profile for
ELITE PREFERRED HEALTHCARE INC

NPI Number
1649096777
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ELITE PREFERRED HEALTHCARE INC
Primary location
13 COPORATE BLVD
BROOKHAVEN, GA 30329
Phone: (248) 843-5470 Fax: (313) 749-9118
Mailing address
3915 HIGH DOVE WAY SW
SMYRNA, GA 30082-3562
Phone: (248) 843-5470 Fax: (313) 749-9118
Organization Subpart
No
Authorized Official
DESHONNA MARTIN
MA
Phone: (248) 843-5470
Updated
Certification Date
Nov 21, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.