Organization Active NPI

Paras Integrated Health, PC

Doing business as Lifestyle Center MD

  • Occupational Medicine Physician
  • Stockbridge, GA
National Provider Identifier
1053754895
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
51836 Issued in GA
Legal business name
PARAS INTEGRATED HEALTH, PC
Doing business as
Lifestyle Center MD
Practice address
102 Vincent Ave
Stockbridge, GA 30281-5049
Phone
(404) 662-2201
Fax
(404) 662-2204
NPI assigned
Apr 11, 2013
Organization subpart
Yes
Parent organization
LIFESTYLE CENTERMDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Shanthalaxmi R Iyer, M.D.
Title
Owner
Phone
(404) 662-2201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083X0100X 51836 GA Primary

Addresses

Primary practice location

102 Vincent Ave
Stockbridge, GA 30281-5049

Mailing address

102 Vincent Ave
Stockbridge, GA 30281-5049
Phone (404) 662-2201

Other names 1

  • Lifestyle Center MD Doing business as

National Provider Directory

National Provider Directory
Part of
Paras Integrated Health PC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1053754895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 VINCENT AVE",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815049",
            "telephone_number": "404-662-2201",
            "fax_number": "404-662-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 VINCENT AVE",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815049",
            "telephone_number": "404-662-2201",
            "fax_number": "404-662-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAS INTEGRATED HEALTH, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFESTYLE CENTERMD",
        "enumeration_date": "2013-04-11",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "IYER",
        "authorized_official_first_name": "SHANTHALAXMI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-662-2201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "GA",
            "license": "51836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifestyle Center MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.