Organization Active NPI

Integrative Physicians of Atlanta

  • Pain Medicine Physician
  • Tucker, GA
National Provider Identifier
1104255397
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
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
Last updated
Feb 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Authorized official

Name
Dr. Dana Piccirillo, DCNPI 1992902357
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)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.