Innerbalance Diagnosis Center

Primary specialty

Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X

Legal business name

INNERBALANCE DIAGNOSIS CENTER

Practice address

4275 Johns Creek Pkwy Ste B
Johns Creek, GA 30024-9117

Phone

(919) 576-2607

Fax

(919) 935-0858

NPI assigned

Feb 9, 2026

Organization subpart

No

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

Authorized official

Name

Mrs. Shirleyjo B Lee

Title

Executive Director

Phone

(919) 576-2607

Specialties & licenses 1

Addresses

Tax ID family

Innerbalance Diagnosis Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Innerbalance Diagnosis Center

  • Developmental Disabilities Clinic/Center
  • Cary, NC
  • NPI 1003793118
  NPD tax ID

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

{
    "created_epoch": "1770595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1700737244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W WILLIAMS ST UNIT 1036",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275022297",
            "telephone_number": "919-576-2607",
            "fax_number": "919-935-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 JOHNS CREEK PKWY STE B",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300249117",
            "telephone_number": "919-576-2607",
            "fax_number": "919-935-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERBALANCE DIAGNOSIS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-09",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SHIRLEYJO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-576-2607",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavioral Neurology & Neuropsychiatry Physician in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Behavioral Neurology & Neuropsychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.