Immune Recovery Institute Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

IMMUNE RECOVERY INSTITUTE INC

Practice address

4536 Chamblee Dunwoody Rd
Ste 250
Dunwoody, GA 30338-6200

Phone

(770) 455-6100

Fax

(770) 455-1999

NPI assigned

Apr 6, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Samuel Edward Bradford, PAC

Title

Ceo

Phone

(770) 455-6100

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harold Adrian Minerve, M.D.

  • General Practice Physician
  • Dunwoody, GA
  • NPI 1184837841
  NPD (past)
• Michael Bozelly Jones, M.D.

  • Cardiovascular Disease Physician
  • New Orleans, LA
  • NPI 1801005053
  NPD (past)
• Isabel Sharkar, N.D.

  • Naturopath
  • Washington, DC
  • NPI 1245578822
  NPD (past)

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1295050987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4536 CHAMBLEE DUNWOODY RD",
            "address_2": "STE 250",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386200",
            "telephone_number": "770-455-6100",
            "fax_number": "770-455-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4536 CHAMBLEE DUNWOODY RD",
            "address_2": "STE 250",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386200",
            "telephone_number": "770-455-6100",
            "fax_number": "770-455-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMUNE RECOVERY INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-455-6100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PAC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Cushing Hughes
• Samuel Parks Hughes
• Ryan Alexander Hunter
• Jessica Hutchens, DPT
• Iamironpanda
• Independent Physical Therapy of Georgia, LLC
• Tara Ingold
• Chantelle Latrese Ingram, LPC
• Daisuke Inoue, DC
• Caroline Inskip, DPT

• Family Medicine Physician in Dunwoody, GA
• Providers in Dunwoody, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.