Organization Active NPI

Georgia Integrated Healthcare, LLC

  • Family Medicine Physician
  • Blue Ridge, GA
National Provider Identifier
1619302387
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GEORGIA INTEGRATED HEALTHCARE, LLC
Practice address
980 E Main St
Suite 300
Blue Ridge, GA 30513-7139
Phone
(706) 632-5454
Fax
(706) 632-5451
NPI assigned
Sep 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Authorized official

Name
Eric A Cavaciuti, DC
Title
Owner/Chiropractor
Phone
(706) 632-5454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

980 E Main St
Suite 300
Blue Ridge, GA 30513-7139

Mailing address

980 E Main St
Suite 300
Blue Ridge, GA 30513-7139
Phone (706) 632-5454

National Provider Directory

National Provider Directory

Locations

980 E Main St
Ste 300
Blue Ridge, GA 30513
Phone (706) 946-2035

NPI Registry JSON

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1619302387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 E MAIN ST",
            "address_2": "SUITE 300",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305137139",
            "telephone_number": "706-632-5454",
            "fax_number": "706-632-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 E MAIN ST",
            "address_2": "SUITE 300",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305137139",
            "telephone_number": "706-632-5454",
            "fax_number": "706-632-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA INTEGRATED HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "CAVACIUTI",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "706-632-5454",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.