Georgia Integrated Behavioral Healthcare

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GEORGIA INTEGRATED BEHAVIORAL HEALTHCARE

Doing business as

Georgia Integrated Health

Practice address

525 Mica Trce
Atlanta, GA 30349-8479

Phone

(678) 477-3476

Fax

(770) 991-4803

NPI assigned

Jul 29, 2013

Last updated

Jul 29, 2013By 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

Diane Boulai, NURSENPI 1437442803

Title

Ceo

Phone

(678) 477-3476

Specialties & licenses 1

Addresses

Other names 1

• Georgia Integrated Health Doing business as

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.

• Diane Boulai, LPN

  • Licensed Practical Nurse
  • Newnan, GA
  • NPI 1437442803
  Authorized official Same address or phone

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1508208836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 ZONOLITE RD NE",
            "address_2": "SUITE 1A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303062013",
            "telephone_number": "678-477-3476",
            "fax_number": "770-991-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 MICA TRCE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303498479",
            "telephone_number": "678-477-3476",
            "fax_number": "770-991-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA INTEGRATED BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-29",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "BOULAI",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-477-3476",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia Integrated Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Georgia Injury & Spine Center of Atlanta
• Georgia Inpatient Medicine Associates, LLC
• Georgia Institute of Medicine, LLC (Georgia Interventional Medicine, LLC)
• Georgia Institute of Technology (Stamps Health Services)
• Georgia Institute of Technology Stamps Health Services
• Georgia Interventional and Vascular Specialists, PC
• Georgia IV Therapy Services, LLC
• Georgia Kidney Care Center
• Georgia Life Links
• Georgia Life Services, Inc

• Community/Behavioral Health Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.