Integrity Business Management, LLC

Key facts

NPI

1629699160

Entity type

Organization (NPI type 2)

Primary specialty

Emergency Medicine Physician 207P00000X

Legal business name

INTEGRITY BUSINESS MANAGEMENT, LLC

Practice address

3796 Satellite Blvd Ste 201
Duluth, GA 30096-5698

Phone

(800) 559-4707

NPI assigned

May 6, 2020

Organization subpart

No

Authorized official

Name

Dr. Paul Chukelu, MD

Title

Medical Director

Phone

(800) 559-4704

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• Integrity Health Medical Group Doing business as

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 28, 2020.

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1629699160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3796 SATELLITE BLVD STE 201",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965698",
            "telephone_number": "800-559-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3796 SATELLITE BLVD STE 201",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965698",
            "telephone_number": "800-559-4707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 Rockbridge Road SW",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30340",
            "country_code": "US",
            "telephone_number": "800-559-4707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRITY BUSINESS MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "CHUKELU",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "800-559-4704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376830174",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@myintegrityhealth.com",
            "affiliation": "N",
            "endpointDescription": "practice secure email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "3796 Satellite Blvd Ste 201",
            "city": "Duluth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300965698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Integrity Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integrity Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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