ELITE MEDICAL GROUP – Psychiatric/Mental Health Nurse Practitioner, NPI 1700147063

ELITE MEDICAL GROUP is a healthcare provider. based in Lithonia, Georgia. specializing in Psychiatric/Mental Health Nurse Practitioner. The NPI Number for ELITE MEDICAL GROUP is 1700147063

Main info

Organization
Name
ELITE MEDICAL GROUP
NPI
1700147063
Phone
(404) 561-5714
Address
3965 GLEN PARK DR
Authorized Official
JULIAN SUTER OWNER
Enumeration Date
4 June 2012
Last Update Date
4 June 2012
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:14State licenses:0Digital endpointsOther names

Provider Addresses for ELITE MEDICAL GROUP

  • 3965 GLEN PARK DR

    LITHONIA, GA 300383692

    Phone: (404) 561-5714

    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 30038)

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Reviews

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Frequently asked questions

What unique ID ties claims to ELITE MEDICAL GROUP?
NPI 1700147063 is assigned to ELITE MEDICAL GROUP under the national enumeration system.
Is ELITE MEDICAL GROUP's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is ELITE MEDICAL GROUP?
The page reflects Psychiatric/Mental Health Nurse Practitioner for ELITE MEDICAL GROUP. Clinical services aligned with this taxonomy classification.
What location shows for ELITE MEDICAL GROUP?
We surface Lithonia, Georgia for ELITE MEDICAL GROUP based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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