Elite Provider Group PC
NPI 1093602229 · Family Medicine Physician · Clarkston, MI
Elite Provider Group PC is a Family Medicine Physician organization in Clarkston, MI (NPI 1093602229).
Provider details
- NPI number
- 1093602229
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Crystal Chandler, Authorized Official(810) 424-2136
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-06-20
- Last updated
- 2025-09-04
- Certified
- 2025-09-04
Frequently asked questions
- What is Elite Provider Group PC's NPI number?
- Elite Provider Group PC's National Provider Identifier (NPI) is 1093602229, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elite Provider Group PC?
- Elite Provider Group PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Elite Provider Group PC located?
- Elite Provider Group PC's practice location on file with NPPES is 5900 Waldon Rd Ste a, Clarkston, MI 48346-4806.
- What is Elite Provider Group PC's phone number?
- The practice phone number listed in the NPPES registry for Elite Provider Group PC is (248) 625-7890.
- Who is the authorized official for Elite Provider Group PC?
- The authorized official listed on Elite Provider Group PC's NPPES record is Crystal Chandler, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elite Provider Group PC's NPI active?
- Yes — Elite Provider Group PC's NPI (1093602229) is active in the NPPES registry as of the last update on 2025-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.