Active NPI
Optimum Health of L'Ville-Grayson
- Physical Medicine & Rehabilitation Physician
- Grayson, GA
National Provider Identifier
1538337464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 028809
- Legal business name
- OPTIMUM HEALTH OF L'VILLE-GRAYSON
- Practice address
- 2445 Moon Rd
Grayson, GA 30017-7851 - Phone
- (678) 985-7286
- Fax
- (678) 985-7287
- NPI assigned
- Feb 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John P Lanier, MD
- Title
- Owner
- Phone
- (678) 985-7286
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIRO006867 | GA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 028809 | GA | Primary |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 028809 | GA |
Addresses
Primary practice location
2445 Moon Rd
Grayson, GA 30017-7851
Mailing address
2855 Highway 317 Ste 760-318
Suwanee, GA 30024-3563
Phone (678) 546-0550
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202860800000",
"number": "1538337464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2855 HIGHWAY 317 STE 760-318",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300243563",
"telephone_number": "678-546-0550",
"fax_number": "678-546-6885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2445 MOON RD",
"city": "GRAYSON",
"state": "GA",
"postal_code": "300177851",
"telephone_number": "678-985-7286",
"fax_number": "678-985-7287"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUM HEALTH OF L'VILLE-GRAYSON",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-13",
"last_updated": "2008-02-13",
"status": "A",
"authorized_official_last_name": "LANIER",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-985-7286",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIRO006867",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "GA",
"license": "028809",
"primary": true
},
{
"code": "2081S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "GA",
"license": "028809",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grayson, GA
- Nerak Healthcare Partners LLC
- New Horizons Family Clinic (Medical Clinic)
- Ngozi Doreen Nwaise
- Onekap Healthcare Solutions, LLC
- Giao Ong
- Optimum Health Rehab of Lville-Grayson LLC (Optimum Health Grayson LLC)
- Kisha Ena Pada Pagay, PTRP, PT, DPT
- Kristi Pankhania, PHARMD
- Areeba Aleem Paracha
- Passion 4 Kids, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.