Elite Provider Group PC
Elite Provider Group PC is a healthcare organization registered as Internal Medicine Physician in Burton, MI, holding Type 2 (organization) NPI 1083501217 since 2025. The authorized official on file is Crystal Chandler, Authorized Official.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1083501217 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Elite Provider Group PC |
| Practice address | 3495 S CENTER RD, Burton, MI, 48519 |
| Phone | 8104242101 |
| Enumeration date | 2025-06-20 |
| Last updated in NPPES | 2025-09-04 |
Authorized official
| Name | Crystal Chandler |
|---|---|
| Title | Authorized Official |
| Phone | 8104242136 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Primary | — | — |
Copy-ready billing details
Provider: Elite Provider Group PC NPI: 1083501217 Taxonomy: 207R00000X (Internal Medicine Physician) Address: 3495 S CENTER RD, Burton, MI, 48519
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1912956723 | Genesys Integrated Group Practice PC | Organization | Family Medicine Physician | Burton, MI |
| 1073556197 | Genesys Integrated Group Practice PC | Organization | Family Medicine Physician | Burton, MI |
| 1467564500 | Munroop Randhawa | Individual | Family Medicine Physician | Burton, MI |
| 1801939475 | Genesys Integrated Group Practice PC | Organization | Physician Assistant | Burton, MI |
| 1275820110 | Genesys Pho LLC | Organization | Case Management Agency | Burton, MI |
| 1598248718 | Henry Ford Medical Group Genesys | Organization | Family Medicine Physician | Burton, MI |
| 1215410436 | Henry Ford Medical Group Genesys | Organization | Internal Medicine Physician | Burton, MI |
Verify this record
Cross-check NPI 1083501217 against the authoritative CMS record: view Elite Provider Group PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Elite Provider Group PC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-04.