Elite Medical Clinic, LLC
NPI 1407505142 · Multi-Specialty Clinic/Center · Douglas, GA
Elite Medical Clinic, LLC is a Multi-Specialty Clinic/Center organization in Douglas, GA (NPI 1407505142).
Provider details
- NPI number
- 1407505142
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Teresa Wilson, Owner(912) 393-5120
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs 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
- 2022-03-21
- Last updated
- 2022-03-21
- Certified
- 2022-03-21
Frequently asked questions
- What is Elite Medical Clinic, LLC's NPI number?
- Elite Medical Clinic, LLC's National Provider Identifier (NPI) is 1407505142, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elite Medical Clinic, LLC?
- Elite Medical Clinic, LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Elite Medical Clinic, LLC located?
- Elite Medical Clinic, LLC's practice location on file with NPPES is 1204 Ocilla Rd, Douglas, GA 31533-2220.
- What is Elite Medical Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Elite Medical Clinic, LLC is (912) 393-5120.
- Who is the authorized official for Elite Medical Clinic, LLC?
- The authorized official listed on Elite Medical Clinic, LLC's NPPES record is Teresa Wilson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elite Medical Clinic, LLC's NPI active?
- Yes — Elite Medical Clinic, LLC's NPI (1407505142) is active in the NPPES registry as of the last update on 2022-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.