Active NPI
Paras Integrated Health, PC
Doing business as Lifestyle Center MD
- Occupational Medicine Physician
- Stockbridge, GA
National Provider Identifier
1053754895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 51836
- 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 CENTERMD
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 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
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.