Active NPI
Integrated Modern Health
- Internal Medicine Physician
- Suwanee, GA
National Provider Identifier
1114800984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Demareo Jhunta Webb, DO
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
- INTEGRATED MODERN HEALTH, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TN
Enrollment records 2
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.
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.