Organization Active NPI

Atlanta Integrative Medical Center

  • Primary Care Clinic/Center
  • Atlanta, GA
National Provider Identifier
1629420260
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
62402 Issued in GA
Legal business name
ATLANTA INTEGRATIVE MEDICAL CENTER
Practice address
1891 Howell Mill Rd NW
Suite B
Atlanta, GA 30318-2512
Phone
(678) 515-0688
Fax
(404) 249-8230
NPI assigned
Jul 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Authorized official

Name
Mr. Thinh Nguyen, MD
Title
Physician
Phone
(678) 515-0688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 62402 GA Primary

Addresses

Primary practice location

1891 Howell Mill Rd NW
Suite B
Atlanta, GA 30318-2512

Mailing address

1891 Howell Mill Rd NW
Suite B
Atlanta, GA 30318-2512
Phone (678) 515-0688

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1629420260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1891 HOWELL MILL RD NW",
            "address_2": "SUITE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182512",
            "telephone_number": "678-515-0688",
            "fax_number": "404-249-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 HOWELL MILL RD NW",
            "address_2": "SUITE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182512",
            "telephone_number": "678-515-0688",
            "fax_number": "404-249-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA INTEGRATIVE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THINH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "678-515-0688",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "62402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.