ELITE MEDICAL CLINIC, LLC – Multi-Specialty Clinic/Center, NPI 1407505142

ELITE MEDICAL CLINIC, LLC is a healthcare provider. based in Douglas, Georgia. specializing in Multi-Specialty Clinic/Center. The NPI Number for ELITE MEDICAL CLINIC, LLC is 1407505142

Main info

Organization
Name
ELITE MEDICAL CLINIC, LLC
NPI
1407505142
Phone
(912) 393-5120
Address
1204 OCILLA RD
Authorized Official
TERESA WILSON OWNER FNPC
Enumeration Date
21 March 2022
Last Update Date
21 March 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

Provider Addresses for ELITE MEDICAL CLINIC, LLC

  • 1204 OCILLA RD

    DOUGLAS, GA 315332220

    Phone: (912) 393-5120

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31533)

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Reviews

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Frequently asked questions

What number should I use to identify ELITE MEDICAL CLINIC, LLC for billing?
Administrative and clinical systems typically use NPI 1407505142 for ELITE MEDICAL CLINIC, LLC.
Quick check: is ELITE MEDICAL CLINIC, LLC active?
Public NPPES data shows ELITE MEDICAL CLINIC, LLC with an active NPI status right now.
What type of care does ELITE MEDICAL CLINIC, LLC provide?
ELITE MEDICAL CLINIC, LLC's profile centers on Multi-Specialty Clinic/Center. Clinical services aligned with this taxonomy classification.
Which community is linked to ELITE MEDICAL CLINIC, LLC?
ELITE MEDICAL CLINIC, LLC shows a connection to Douglas, Georgia in registry-derived data.
Why is information missing for ELITE MEDICAL CLINIC, LLC?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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