Interventional Institute of Georgia

Primary specialty

Radiology PodiatristTaxonomy code 213ER0200X

License

043894 Issued in GA

Legal business name

INTERVENTIONAL INSTITUTE OF GEORGIA

Practice address

7130 Mount Zion Blvd
Suite 2
Jonesboro, GA 30236-2566

Phone

(770) 506-4007

Fax

(678) 246-5191

NPI assigned

Apr 1, 2014

Organization subpart

No

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

Authorized official

Name

Holly Danielle Farrow, BS

Title

Clinical Coordinator

Phone

(770) 820-9222

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Allison B Burkett, MD

  • Vascular Surgery Physician
  • Warner Robins, GA
  • NPI 1780861146
  NPD (past)
• Kevin L Carson, MD

  • Vascular & Interventional Radiology Physician
  • Atlanta, GA
  • NPI 1649257825
  NPD (past)
• Sendhil K Subramanian, MD

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1902883168
  NPD (past)

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1508284175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 955",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302810955",
            "telephone_number": "770-506-4007",
            "fax_number": "678-246-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 MOUNT ZION BLVD",
            "address_2": "SUITE 2",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362566",
            "telephone_number": "770-506-4007",
            "fax_number": "678-246-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL INSTITUTE OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "FARROW",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "CLINICAL COORDINATOR",
        "authorized_official_telephone_number": "770-820-9222",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "213ER0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Radiology",
            "state": "GA",
            "license": "043894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000757314H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrated Health Center Corp
• Integrity Behavior Health Outpatient Center
• Integrity Garden Diagnostic and Lab LLC
• Integrity Garden Home Care LLC
• International Center for Foot & Ankle Surgery
• Chareunphone T Inthirat, DMD
• Intuitive Choice Physical Therapy and Wellness, LLC
• Inwood Therapeutic Services LLC
• Titi A Ipadeola
• Sohail Iqbal, M.D

• Podiatrist in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.