Elite Sports Medicine
NPI 1861408239ActiveOrganization· Physical Therapist· Dacula, GA
Physical Therapist in Dacula, Georgia, registered in NPPES in July 2006. The authorized official on file is Steven Ray Hatfield, DPT ATC, Physical Therapist President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1861408239 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 31, 2006 |
| Last updated in NPPES | Mar 14, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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