Organization Active NPI

Integrated Modern Health

  • Internal Medicine Physician
  • Suwanee, GA
National Provider Identifier
1114800984
Registry record updated Jan 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INTEGRATED MODERN HEALTH
Practice address
702 Old Peachtree Rd NW
Suwanee, GA 30024-4922
Phone
(662) 931-0193
NPI assigned
Jul 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2026

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

Authorized official

Name
Demareo Jhunta Webb, DONPI 1588003479
Title
Internal Medicine Physician
Phone
(662) 931-0193

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

702 Old Peachtree Rd NW
Suwanee, GA 30024-4922

Mailing address

3373 Acorn Harvest LN
Suwanee, GA 30024-5619
Phone (662) 931-0193

Other names 2

  • IMH Doing business as
  • INTEGRATED MODERN HEALTH, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20260102002909 GA Part B Supplier - Clinic/Group Practice 9931695517 Receives reassigned benefits from 1 practitioner
Practice locations: Suwanee, GA
O20260320003611 TN Part B Supplier - Clinic/Group Practice 9931695517 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson, TN

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.

NPI Registry JSON

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768608000000",
    "number": "1114800984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3373 ACORN HARVEST LN",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300245619",
            "telephone_number": "662-931-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 OLD PEACHTREE RD NW",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244922",
            "telephone_number": "662-931-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MODERN HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-29",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "DEMAREO",
        "authorized_official_middle_name": "JHUNTA",
        "authorized_official_title_or_position": "INTERNAL MEDICINE PHYSICIAN",
        "authorized_official_telephone_number": "662-931-0193",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "INTEGRATED MODERN HEALTH, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.