NPIMap

Organization Active NPI

New Traditions in Health, LLC

  • Family Medicine Physician
  • Stuart, FL
National Provider Identifier
1477756385
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AP2141 Issued in FL
Legal business name
NEW TRADITIONS IN HEALTH, LLC
Practice address
55 SE Osceola St
Suite 102
Stuart, FL 34994-2149
Phone
(772) 288-3668
Fax
(772) 288-3655
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James N Georgiades, OMD
Title
Owner
Phone
(772) 288-3688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X AP2141 FL Primary

Addresses

Primary practice location

55 SE Osceola St
Suite 102
Stuart, FL 34994-2149

Mailing address

55 SE Osceola St
Suite 102
Stuart, FL 34994-2149
Phone (772) 288-3668

Other identifiers 1

IdentifierTypeStateIssuer
AP2141OtherFLACUPUNCTURE

National Provider Directory

National Provider Directory
Tax ID family
New Traditions in Health LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477756385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SE OSCEOLA ST",
            "address_2": "SUITE 102",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942149",
            "telephone_number": "772-288-3668",
            "fax_number": "772-288-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SE OSCEOLA ST",
            "address_2": "SUITE 102",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942149",
            "telephone_number": "772-288-3668",
            "fax_number": "772-288-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW TRADITIONS IN HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEORGIADES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-288-3688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OMD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "AP2141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "AP2141",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.