Active NPI
Integrative Physical Medicine
- Physical Medicine & Rehabilitation Physician
- Atlanta, GA
National Provider Identifier
1639092240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mairin Jerome, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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 DirectoryLocations
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.
-
- Physical Medicine & Rehabilitation Physician
- Atlanta, GA
- NPI 1356738983
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
- Integrated Healthcare Center of Dunwoody LLC
- Integrated Therapy LLC
- Integrated Wellness Counseling & Coaching Institute
- Integrating Body Mind and Life, LLC
- Integrative Medical Group and Medical Spa, Inc
- Integrative Services & Solutions, LLC
- Integrative Sessions
- Integrative Virtual Mental Health
- Integrative Wellness Centers, Inc
- Integricare LLC
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.