Organization Active NPI

Integrated Medical Enterprises,Inc

  • Registered Nurse
  • Snellville, GA
National Provider Identifier
1225482474
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN134161 Issued in GA
Legal business name
INTEGRATED MEDICAL ENTERPRISES,INC
Practice address
2140 McGee Rd
Suite C530
Snellville, GA 30078-2980
Phone
(770) 940-9941
Fax
(770) 417-8263
NPI assigned
Apr 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Authorized official

Name
Mrs. Priscilla Ngozi Madu Sterling, REGISTERED NURSE,BSN
Title
President
Phone
(770) 940-9941

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163W00000X RN134161 GA Primary
Nursing Care Agency 251J00000X RN134161 GA

Addresses

Primary practice location

2140 McGee Rd
Suite C530
Snellville, GA 30078-2980

Mailing address

947 Abbey Park Way
Abbey Park Way
Lawrenceville, GA 30044-3377
Phone (770) 940-9941

Other identifiers 1

IdentifierTypeStateIssuer
003159264AMedicaidGA

National Provider Directory

National Provider Directory

Locations

2740 Jefferson St
Austell, GA 30168
Phone (678) 402-5588

2140 McGee Rd
Ste C530
Snellville, GA 30078
Phone (770) 940-9941

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1225482474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 ABBEY PARK WAY",
            "address_2": "ABBEY PARK WAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300443377",
            "telephone_number": "770-940-9941",
            "fax_number": "770-417-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 MCGEE RD",
            "address_2": "SUITE C530",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782980",
            "telephone_number": "770-940-9941",
            "fax_number": "770-417-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICAL ENTERPRISES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "MADU STERLING",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_middle_name": "NGOZI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-940-9941",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE,BSN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN134161",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "RN134161",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003159264A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.