Organization Active NPI

Innovative Health Centers, LLC

  • Physical Medicine & Rehabilitation Physician
  • Alpharetta, GA
National Provider Identifier
1245422641
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036000 Issued in GA
Legal business name
INNOVATIVE HEALTH CENTERS, LLC
Practice address
11877 Douglas Rd
Ste 102-271
Alpharetta, GA 30005-4325
Phone
(866) 455-5816
NPI assigned
Aug 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Dr. Carl Shenkman, M.D.
Title
Med Dir
Phone
(866) 455-5816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 036000 GA Primary

Addresses

Primary practice location

11877 Douglas Rd
Ste 102-271
Alpharetta, GA 30005-4325

Mailing address

11877 Douglas Rd
Ste 102-271
Alpharetta, GA 30005-4325
Phone (866) 455-5816

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1245422641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11877 DOUGLAS RD",
            "address_2": "STE 102-271",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054325",
            "telephone_number": "866-455-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11877 DOUGLAS RD",
            "address_2": "STE 102-271",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054325",
            "telephone_number": "866-455-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HEALTH CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "SHENKMAN",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "MED DIR",
        "authorized_official_telephone_number": "866-455-5816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "036000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.