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

Northeast Elite Medical Clinic, LLC

Organization Clinic/Center · NPI 1497322325

Northeast Elite Medical Clinic, LLC is a Clinic/Center in Columbia, South Carolina. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

136-4 Forum Dr 1018
Columbia, SC 29229
Phone: (803) 836-8679
Fax: (803) 800-2007
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Clinic/Center Taxonomy 261Q00000X
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1497322325
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paulette Rumph — Ceo · (803) 836-8679
NPI enumeratedJune 9, 2021
Last updated in NPPESJune 9, 2021
Certification dateMay 21, 2021
Mailing address136-4 Forum Dr, 1018, Columbia, SC 29229

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