NPIMap

Organization Active NPI

Iora Senior Health, LLC

Doing business as One Medical

  • Internal Medicine Physician
  • Mableton, GA
National Provider Identifier
1467011049
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
IORA SENIOR HEALTH, LLC
Doing business as
One Medical
Practice address
5015 Floyd Rd, Suite 710
Mableton, GA 30126
Phone
(678) 695-6989
Fax
(844) 947-4717
NPI assigned
Jun 7, 2019
Last updated
Sep 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Suzanne Hansen
Title
Chief Medicare Program Officer
Phone
(415) 814-0927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181029003060 GA Part B Supplier - Clinic/Group Practice 0143520189 Receives reassigned benefits from 42 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Marietta, GA; Tucker, GA; Lawrenceville, GA; Kennesaw, GA; Decatur, GA

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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": "1467011049",
    "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 SENIOR HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "CHIEF MEDICARE PROGRAM OFFICER",
        "authorized_official_telephone_number": "415-814-0927"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_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.

Verify at the official NPI Registry.