Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Elite Sports Medicine and Orthopaedic Center, PLC

Organization Specialist · NPI 1366868747

Elite Sports Medicine and Orthopaedic Center, PLC provides Specialist services in Lebanon, Tennessee. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

1616 W Main St Ste 203
Lebanon, TN 37087-3100
Phone: (615) 284-2000
Fax: (615) 284-2003
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1366868747
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Lawson — Administrator · (615) 284-2000
NPI enumeratedMarch 10, 2014
Last updated in NPPESJanuary 8, 2021
Certification dateJanuary 5, 2021
Mailing address2004 Hayes St, Suite 200, Nashville, TN 37203-2646

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