ELITE HEALTHCARE PHYSICAL MEDICINE
ELITE HEALTHCARE PHYSICAL MEDICINE is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1669736120, based in Carrollton, GA. The organization lists 3 taxonomy classifications, with General Practice Physician recorded as primary.
Getting there
The practice address on file is 307 ADAMSON SQ, Carrollton, GA 30117. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 052922 | GA | General Practice Physician primary |
| CHIR007565 | GA | Rehabilitation Chiropractor |
| RN148627 | GA | Family Nurse Practitioner |
This provider holds licence 052922 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 8325292212
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What General Practice covers
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. NUCC Health Care Provider Taxonomy, code 208D00000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208D00000X | General Practice Physician | 052922 | GA | primary |
| 111NR0400X | Rehabilitation Chiropractor Rehabilitation | CHIR007565 | GA | |
| 363LF0000X | Family Nurse Practitioner Family | RN148627 | GA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1669736120 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jun 29, 2012 |
| Last updated | Jun 29, 2012 |
| Status | Active |
| Practice address |
307 ADAMSON SQ Carrollton, GA 30117 (770) 214-9146 Fax (770) 214-9166 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 6 | 9 | 7 | 3 | 6 | 1 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 3 | 9 | 5 | 3 | 3 | 1 | 4 |
Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.