Integrity Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

54794 Issued in GA

Legal business name

INTEGRITY MEDICAL GROUP

Doing business as

Brookstone Internal Medicine

Practice address

400 Brookstone Centre Pkwy
Suite 200
Columbus, GA 31904-3639

Phone

(706) 507-3332

Fax

(706) 507-3359

NPI assigned

Oct 14, 2010

Last updated

Aug 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samantha Lyn Boroughs, MDNPI 1659385979

Title

Ceo

Phone

(706) 987-7509

Specialties & licenses 1

Addresses

Other names 1

• Brookstone Internal Medicine Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samantha Lyn Boroughs, MD

  • Internal Medicine Physician
  • Columbus, GA
  • NPI 1659385979
  Authorized official Same address or phone

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1396055091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 184",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080184",
            "telephone_number": "706-507-3332",
            "fax_number": "706-507-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BROOKSTONE CENTRE PKWY",
            "address_2": "SUITE 200",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043639",
            "telephone_number": "706-507-3332",
            "fax_number": "706-507-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "BOROUGHS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-987-7509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "54794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookstone Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookstone Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.