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Elite Provider Group PC

Q: What type of organization is Elite Provider Group PC?

Elite Provider Group PC is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

Family Medicine Physician in Clarkston, MI · enumerated 2025 · authorized official Crystal Chandler, Authorized Official.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093602229

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Registry record

Entity type Organization (Type 2)

Legal business name Elite Provider Group PC

Practice address 5900 Waldon Rd Ste A, Clarkston, MI, 48346

Phone (248) 625-7890

Enumeration date Jun 20, 2025

Last updated in NPPES Sep 4, 2025

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Crystal Chandler

Title Authorized Official

Phone (810) 424-2136

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 → Validate an NPI →

Frequently asked questions

What type of organization is Elite Provider Group PC?

Elite Provider Group PC is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-04.