Organization Active NPI

Gentle Force Integrative Health, LLC

  • Family Medicine Physician
  • Canton, GA
National Provider Identifier
1366293219
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GENTLE FORCE INTEGRATIVE HEALTH, LLC
Practice address
230 Riverstone Pkwy Ste D
Canton, GA 30114-6414
Phone
(770) 720-0099
NPI assigned
Mar 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Michael Collins Sullivan
Title
Owner
Phone
(770) 363-6957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

230 Riverstone Pkwy Ste D
Canton, GA 30114-6414

Mailing address

230 Riverstone Pkwy Ste B
Canton, GA 30114-6414
Phone (770) 720-0099

National Provider Directory

National Provider Directory

Locations

230 Riverstone Pkwy
Ste D
Canton, GA 30114
Phone (770) 720-0099

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1366293219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 RIVERSTONE PKWY STE B",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301146414",
            "telephone_number": "770-720-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 RIVERSTONE PKWY STE D",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301146414",
            "telephone_number": "770-720-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE FORCE INTEGRATIVE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "COLLINS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-363-6957"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.