Functional Health Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

FUNCTIONAL HEALTH INC

Practice address

455 E Paces Ferry Rd NE
Suite 201
Atlanta, GA 30305-3313

Phone

(404) 941-2000

NPI assigned

Jun 1, 2010

Last updated

Sep 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Henry Jacobs, D.C.

Title

Director

Phone

(404) 941-2000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632528000000",
    "number": "1184944118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E PACES FERRY RD NE",
            "address_2": "SUITE 201",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303053313",
            "telephone_number": "404-941-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E PACES FERRY RD NE",
            "address_2": "SUITE 201",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303053313",
            "telephone_number": "404-941-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2021-09-25",
        "certification_date": "2021-09-25",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-941-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janeesah Kelly Fulton
• Makaela Fulton
• Tyler Fulton
• Fultoncountygoverment
• Lucie Fumagalli, PA
• Functionize Health & Physical Therapy
• Fundamental Health Group, LLC (BrightStar of NW Atlanta)
• Eric Dee Funderburg, RPH
• Michael Phillip Fundora, M.D.
• Nicholas Kin-Man Fung, MD

• Radiology Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Radiology Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2021; 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.