Emergent Life Integrative Medicine Center, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EMERGENT LIFE INTEGRATIVE MEDICINE CENTER, INC

Practice address

5104 Reagan Drive, Suite 4
Charlotte, NC 28206-1392

Phone

(919) 961-2204

NPI assigned

Oct 10, 2019

Last updated

Oct 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barany Jeganatth

Title

Founder, General Manager

Phone

(919) 961-2204

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1053953125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5104 REAGAN DRIVE, SUITE 4",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282061392",
            "telephone_number": "919-961-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5104 REAGAN DRIVE, SUITE 4",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282061392",
            "telephone_number": "919-961-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENT LIFE INTEGRATIVE MEDICINE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "JEGANATTH",
        "authorized_official_first_name": "BARANY",
        "authorized_official_title_or_position": "FOUNDER, GENERAL MANAGER",
        "authorized_official_telephone_number": "919-961-2204"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emerald Heart Home Care Services LLC
• Emerald Heart Transportation Services LLC
• Emerald Home Care Agency, LLC
• Emerald Moon Counseling PLLC
• Emergency Medicine Physicians of Mecklenburg County, PLLC
• Emeritus Corporation (Emeritus at Eastover)
• Brian R. Emerson, M.D.
• Carlynn Bea Emerson
• Emery Ward OD PA
• Jadea Emery

• Family Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.