OrganizationActive
Elite IV Hydration and Wellness
NPI 1730843202 · Clinic/Center · Mcdonough, GA
Elite IV Hydration and Wellness is a Clinic/Center organization in Mcdonough, GA (NPI 1730843202).
Provider details
- NPI number
- 1730843202
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tanika Powell, Nurse Practitioner/Owner(706) 399-4601
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinical Medical Laboratory291U00000X
Laboratories
Profile Score
Established profile(61/100 index)
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
823 Pavilion Ct
Mcdonough, GA 30253-6666
Phone: (404) 965-5715
Street-level locationGet directions
Mailing address
5916 East Lake Pkwy
Mcdonough, GA 30253
Registry dates
- Enumerated
- 2021-10-29
- Last updated
- 2023-06-30
- Certified
- 2023-06-30
Frequently asked questions
- What is Elite IV Hydration and Wellness's NPI number?
- Elite IV Hydration and Wellness's National Provider Identifier (NPI) is 1730843202, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elite IV Hydration and Wellness?
- Elite IV Hydration and Wellness is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Elite IV Hydration and Wellness located?
- Elite IV Hydration and Wellness's practice location on file with NPPES is 823 Pavilion Ct, Mcdonough, GA 30253-6666.
- What is Elite IV Hydration and Wellness's phone number?
- The practice phone number listed in the NPPES registry for Elite IV Hydration and Wellness is (404) 965-5715.
- Who is the authorized official for Elite IV Hydration and Wellness?
- The authorized official listed on Elite IV Hydration and Wellness's NPPES record is Tanika Powell, Nurse Practitioner/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elite IV Hydration and Wellness's NPI active?
- Yes — Elite IV Hydration and Wellness's NPI (1730843202) is active in the NPPES registry as of the last update on 2023-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.