Active NPI
Atlanta Integrative Medical Center
- Primary Care Clinic/Center
- Atlanta, GA
National Provider Identifier
1629420260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 62402
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- Atlanta Institute of Family Services, Inc.
- Atlanta Institute of Medicine and Rehabilitation
- Atlanta Institute of Rehab
- Atlanta Integrated Medical Health Center
- Atlanta Integrative Health Solutions LLC
- Atlanta Internal Medicine and Psychiatric Care
- Atlanta Intervention Center, Inc
- Atlanta Intra-Op Monitoring LLC
- Atlanta Kidney Care LLC
- Atlanta Knee and Shoulder Clinic PC
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.