Elevated Realm Medical

Specialty details in registry · Lawrenceville, GA

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At a glance

1609 Tree Creek Pkwy, Lawrenceville, GA 30043-8470

NPPES record updated May 19, 2026. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

1609 Tree Creek Pkwy
Lawrenceville, GA 30043-8470
Professional details: NPI, taxonomy & registry record
NPI1588594956
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
332B00000X
Enumeration date
May 19, 2026
Record updated
May 19, 2026
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

332B00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1609 Tree Creek Pkwy
Lawrenceville, GA 30043-8470
Phone
(646) 575-0326
Mailing address
1609 TREE CREEK PKWY

LAWRENCEVILLE, GA 300438470
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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