Integrative Physicians of Atlanta

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

INTEGRATIVE PHYSICIANS OF ATLANTA

Practice address

4880 Lawrenceville Hgwy
Ste 13
Tucker, GA 30084-2952

Phone

(770) 934-4233

NPI assigned

Nov 7, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Dana Piccirillo, DC

Title

Owner

Phone

(770) 934-4233

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1104255397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4880 LAWRENCEVILLE HWY",
            "address_2": "SUITE 13",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300842938",
            "telephone_number": "770-934-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 LAWRENCEVILLE HGWY",
            "address_2": "STE 13",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300842952",
            "telephone_number": "770-934-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PHYSICIANS OF ATLANTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-07",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "PICCIRILLO",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-934-4233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine Physician in Tucker, GA
• Providers in Tucker, GA by specialty
• Pain Medicine Physician in Georgia

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