Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elite Medical Group

Organization Adult Health Nurse Practitioner · NPI 1700147063

Elite Medical Group is an Adult Health Nurse Practitioner in Lithonia, Georgia. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2

Practice location Address checks out

3965 Glen Park Dr
Lithonia, GA 30038-3692
Phone: (404) 561-5714
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Adult Health Nurse Practitioner Taxonomy 363LA2200X

Record details

NPI number1700147063
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julian Suter — Owner · (404) 561-5714
NPI enumeratedJune 4, 2012
Last updated in NPPESJune 4, 2012
Mailing address3965 Glen Park Dr, Lithonia, GA 30038-3692

Other providers in Lithonia