Elite Obstetrics and Gynecology LLC
NPI 1538915210 · Obstetrics & Gynecology Physician · Poplar Bluff, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elite Obstetrics and Gynecology LLC is a Obstetrics & Gynecology Physician organization in Poplar Bluff, MO (NPI 1538915210).
Provider details
- NPI number
- 1538915210
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tracy Gibbs, Managing Director(636) 751-5598
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2024-04-24
- Last updated
- 2024-05-06
- Certified
- 2024-05-06
Frequently asked questions
- What is Elite Obstetrics and Gynecology LLC's NPI number?
- Elite Obstetrics and Gynecology LLC's National Provider Identifier (NPI) is 1538915210, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elite Obstetrics and Gynecology LLC?
- Elite Obstetrics and Gynecology LLC is classified in the NPPES registry as Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Elite Obstetrics and Gynecology LLC located?
- Elite Obstetrics and Gynecology LLC's practice location on file with NPPES is 225 Physicians Park Ste 305, Poplar Bluff, MO 63901-3935.
- What is Elite Obstetrics and Gynecology LLC's phone number?
- The practice phone number listed in the NPPES registry for Elite Obstetrics and Gynecology LLC is (573) 772-4340.
- Does Elite Obstetrics and Gynecology LLC accept Medicare?
- Elite Obstetrics and Gynecology LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Elite Obstetrics and Gynecology LLC?
- The authorized official listed on Elite Obstetrics and Gynecology LLC's NPPES record is Tracy Gibbs, Managing Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elite Obstetrics and Gynecology LLC's NPI active?
- Yes — Elite Obstetrics and Gynecology LLC's NPI (1538915210) is active in the NPPES registry as of the last update on 2024-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.