Elite Healthcare Physical Medicine
NPI 1669736120ActiveOrganization· General Practice· Carrollton, GA
General Practice in Carrollton, Georgia, registered in NPPES in June 2012. The authorized official on file is Ryan C. Weber, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1669736120 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 29, 2012 |
| Last updated in NPPES | Jun 29, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 052922 | GA |
| Chiropractor, Rehabilitation | 111NR0400X | CHIR007565 | GA |
| Nurse Practitioner, Family | 363LF0000X | RN148627 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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