Organization Active NPI

Integrative Physical Medicine

  • Physical Medicine & Rehabilitation Physician
  • Atlanta, GA
National Provider Identifier
1639092240
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
INTEGRATIVE PHYSICAL MEDICINE
Practice address
1819 Peachtree Rd NE Ste 250
Atlanta, GA 30309-1857
Phone
(770) 852-5551
Fax
(770) 852-8557
NPI assigned
Jul 31, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Authorized official

Name
Mairin Jerome, MDNPI 1356738983
Title
Founder
Phone
(770) 852-5551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1819 Peachtree Rd NE Ste 250
Atlanta, GA 30309-1857

Mailing address

1819 Peachtree Rd NE Ste 250
Atlanta, GA 30309-1857
Phone (770) 852-5551

National Provider Directory

National Provider Directory

Locations

1819 Peachtree Rd NE
Ste 250
Atlanta, GA 30309

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1785456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1639092240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 PEACHTREE RD NE STE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091857",
            "telephone_number": "770-852-5551",
            "fax_number": "770-852-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 PEACHTREE RD NE STE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091857",
            "telephone_number": "770-852-5551",
            "fax_number": "770-852-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-31",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "JEROME",
        "authorized_official_first_name": "MAIRIN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "770-852-5551",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "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 31, 2026; 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.