Atlanta Center for Integrative Med

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

036281 Issued in GA

Legal business name

ATLANTA CENTER FOR INTEGRATIVE MED

Practice address

2751 Buford Hwy NE
Suite 700
Atlanta, GA 30324-3207

Phone

(404) 386-6510

Fax

(702) 975-5031

NPI assigned

Sep 3, 2015

Organization subpart

No

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

Authorized official

Name

Michele Sewell

Title

MD, Faap

Phone

(404) 386-6510

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1104294461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 BUFORD HWY",
            "address_2": "SUITE 700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30324",
            "telephone_number": "404-386-6510",
            "fax_number": "702-975-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 BUFORD HWY NE",
            "address_2": "SUITE 700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243207",
            "telephone_number": "404-386-6510",
            "fax_number": "702-975-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA CENTER FOR INTEGRATIVE MED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "MD, FAAP",
        "authorized_official_telephone_number": "404-386-6510"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "GA",
            "license": "036281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000525907N",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Exclusive Provider Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.