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

Elite Sports Medicine and Orthopaedic Center, PLC

Organization Sports Medicine (Family Medicine) Physician · NPI 1568905248

Elite Sports Medicine and Orthopaedic Center, PLC is a Sports Medicine (Family Medicine) Physician in Lebanon, Tennessee. Licensed in Tennessee. Registered with an NPI since 2016.

Licensed in
TN
In the registry since
2016
Specialties on file
6

Practice location Address checks out

107 Glidepath Way
Lebanon, TN 37090-4133
Phone: (615) 324-1600
Fax: (615) 284-2003
Show map & directions

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

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X (TN)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X (TN)
Cardiovascular Disease Physician Taxonomy 207RC0000X (TN)
Orthopaedic Surgery Physician Taxonomy 207X00000X (TN)
Orthopaedic Hand Surgery Physician Taxonomy 207XS0106X (TN)
Orthopaedic Surgery of the Spine Physician Taxonomy 207XS0117X (TN)

Record details

NPI number1568905248
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationElite Sports Medicine and Orthopaedic Center, PLC
Authorized official Claudia Lagacy — Office Manager · (615) 342-0264
NPI enumeratedNovember 29, 2016
Last updated in NPPESJuly 18, 2017
Mailing addressPo Box 896172, Charlotte, NC 28289-6172