Active NPI
Iora Health Georgia, P.C.
- Internal Medicine Physician
- Mableton, GA
National Provider Identifier
1245899830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- IORA HEALTH GEORGIA, P.C.
- Practice address
- 5015 Floyd Rd, Suite 710
Mableton, GA 30126 - Phone
- (678) 695-6989
- Fax
- (844) 947-4717
- NPI assigned
- Jun 7, 2019
- 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
- Andrew Diamond, MD
- Title
- Chief Medical Officer
- Phone
- (415) 814-0927
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
5015 Floyd Rd, Suite 710
Mableton, GA 30126
Mailing address
1 Embarcadero Ctr FL 19
San Francisco, CA 94111-3628
Other names 1
- One Medical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181030001712 | GA | Part B Supplier - Clinic/Group Practice | 1850644394 |
Receives reassigned benefits from 40 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Tucker, GA; Marietta, GA; Kennesaw, GA; Decatur, GA; Lawrenceville, GA |
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Internal Medicine Physician
- Lawrenceville, GA
- NPI 1700370475
O20181030001712
National Provider Directory
National Provider DirectoryLocations
5015 Floyd Rd SW
Ste 710
Mableton, GA 30126
Phone (678) 695-6989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694044800000",
"number": "1245899830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EMBARCADERO CTR FL 19",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5015 FLOYD RD, SUITE 710",
"city": "MABLETON",
"state": "GA",
"postal_code": "30126",
"telephone_number": "678-695-6989",
"fax_number": "844-947-4717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IORA HEALTH GEORGIA, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-07",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A",
"authorized_official_last_name": "DIAMOND",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "415-814-0927",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "One Medical",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Mableton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.