Active NPI
Integrative Physicians of Atlanta
- Pain Medicine Physician
- Tucker, GA
National Provider Identifier
1104255397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- 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
- Last updated
- Feb 10, 2017
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
4880 Lawrenceville Hgwy
Ste 13
Tucker, GA 30084-2952
Mailing address
4880 Lawrenceville Hwy
Suite 13
Tucker, GA 30084-2938
Phone (770) 934-4233
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Rehabilitation Chiropractor
- Tucker, GA
- NPI 1992902357
NPI Registry JSON
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": []
}
Other providers in Tucker, GA
- Seraphine Ikwueme, NP
- In the Zone Family Counseling L.L.C. (Abbe Bryer Connell LCSW)
- Independent Physical Therapy of Georgia, LLC (BenchMark Physical Therapy)
- Independent Physical Therapy of Georgia, LLC
- Integrated Healthcare Center of Norcross/Tucker, LLC
- Internal Medicine Alliance
- International Alternative Medicine
- Iora Health Georgia, P.C. (One Medical)
- Iora Senior Health, LLC (One Medical)
- Whitney Chivonne Irie, PHD
Sources for this page
- 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.