Active NPI
Smyrna Integrated Health
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Smyrna, GA
National Provider Identifier
1164819405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Legal business name
- SMYRNA INTEGRATED HEALTH
- Practice address
- 545 Concord Rd SE
Smyrna, GA 30082-2609 - Phone
- (770) 432-9290
- NPI assigned
- Apr 24, 2015
- 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
- Miss Anam Rafi
- Title
- Owner
- Phone
- (678) 773-8936
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Licensed Practical Nurse | 164W00000X | |||
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | Primary |
Addresses
Primary practice location
545 Concord Rd SE
Smyrna, GA 30082-2609
Mailing address
545 Concord Road South East
Smyrna, GA 30082
Phone (770) 432-9290
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429833600000",
"number": "1164819405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 CONCORD ROAD SOUTH EAST",
"city": "SMYRNA",
"state": "GA",
"postal_code": "30082",
"telephone_number": "770-432-9290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 CONCORD RD SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300822609",
"telephone_number": "770-432-9290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMYRNA INTEGRATED HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-24",
"last_updated": "2015-04-24",
"status": "A",
"authorized_official_last_name": "RAFI",
"authorized_official_first_name": "ANAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-773-8936",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "204C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, GA
- Smyrna Dialysis Center, LLC (Fresenius Medical Care Highlands)
- Smyrna Emergency Physicians LLC
- Smyrna Eye Group, P.C.
- Smyrna Family Medicine, LLC (Premier Primary Care Medicine)
- Smyrna Hand Therapy, LLC
- Smyrna Medical and Physical Therapy, LLC
- Smyrna Medical Associates, PC
- Smyrna Oral and Maxillofacial Surgery and Implantology Center, LLC (Precision Oral Surgery)
- Smyrna Orthopaedic & Sports Medicine Center, PC
- Leland Jay Snaider
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.