ELITE FAMILY PRACTICE
NPI 1710236880
Preferred Provider Organization in Douglasville, GA
NPI Status: Active since September 05, 2012
Contact Information
6126 PRESTLEY MILL RD
SUITE H
DOUGLASVILLE, GA
ZIP 30134
Phone: (678) 715-2993
Fax: (678) 715-2827
- Organization
- Preferred Provider Organization
- Accepts Insurance
- CLIA Number: 11D0998471
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-15-2026
About ELITE FAMILY PRACTICE
This page provides the complete NPI Profile along with additional information for Elite Family Practice, a provider established in Douglasville, Georgia operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1710236880 assigned on September 2012. The practitioner's primary taxonomy code is 305R00000X with license number 041745 (GA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Delania W Miles (Office Manager)
- NPI
- 1710236880
- Provider Name
- ELITE FAMILY PRACTICE
- Entity Type
- Organization
- Location Address
- 6126 PRESTLEY MILL RD SUITE H DOUGLASVILLE, GA 30134
- Location Phone
- (678) 715-2993
- Location Fax
- (678) 715-2827
- Mailing Address
- 6126 PRESTLEY MILL RD SUITE H DOUGLASVILLE, GA 30134
- Mailing Phone
- (678) 715-2993
- Mailing Fax
- (678) 715-2827
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-05-2012
- Last Update Date
- 09-05-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Preferred Provider Organization
- Taxonomy Code
- 305R00000X
- Type
- Managed Care Organizations
- License No.
- 041745
- License State
- GA
- Taxonomy Description
- A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D0998471
- Facility Type
- Physician Office
- Certificate Effective Date
- April 16, 2024
- Certificate Expiration Date
- April 15, 2026
- Laboratory Director
- VALENCIA BURRUSS
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Elite Family Practice in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for ELITE FAMILY PRACTICE
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 1 | 0 | 2 | 3 | 6 | 8 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 4 | 3 | 12 | 8 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 4 + 3 + 1 + 2 + 8 + 1 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1710236880 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1700802089 | DR. DENNIS LEE STARKEY DDS Individual | Dentist (Endodontics) | 6126 PRESTLEY MILL RD SUITE J DOUGLASVILLE, GA 30134 (770) 489-1450 |
| 1669429353 | SAMARPAN INC. Organization | Pharmacy (Community/Retail Pharmacy) | 6126 PRESTLEY MILL RD UNIT K DOUGLASVILLE, GA 30134 (770) 949-7977 |
| 1699117473 | MS. DULARI K. PARIKH R.PH Individual | Pharmacist | 6126 PRESTLEY MILL RD SUITE K DOUGLASVILLE, GA 30134 (770) 949-7977 |
| 1346678687 | PARIKSHIT PATEL Individual | Pharmacist | 6126 PRESTLEY MILL RD DOUGLASVILLE, GA 30134 (770) 949-7977 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710236880, enumerated in the NPI registry as an "organization" on September 05, 2012
The provider is located at 6126 Prestley Mill Rd Suite H Douglasville, Ga 30134 and the phone number is (678) 715-2993
This medical organization specializes in Preferred Provider Organization with taxonomy code 305R00000X
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 11D0998471 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on September 05, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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