OrganizationActive
Elite Family Practice
NPI 1710236880 · Preferred Provider Organization · Douglasville, GA
Provider details
- NPI number
- 1710236880
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Delania Miles, Office Manager(678) 715-2993
- License
- 041745 (GA)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
6126 Prestley Mill Rd
Suite H
Douglasville, GA 30134-5623
Phone: (678) 715-2993
Fax: (678) 715-2827
Street-level locationGet directions
Mailing address
6126 Prestley Mill Rd
Douglasville, GA 30134-5623
Registry dates
- Enumerated
- 2012-09-05
- Last updated
- 2012-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.