Preventive Medicine & Chelation Therapy Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

MD046372 Issued in GA

Legal business name

PREVENTIVE MEDICINE & CHELATION THERAPY INC

Practice address

148 Cobb Pkwy
Ringgold, GA 30736-8566

Phone

(706) 891-1200

Fax

(706) 891-1202

NPI assigned

Jul 28, 2008

Last updated

Nov 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert A Burkich, MDNPI 1811936891

Title

Director

Phone

(706) 891-1200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert A Burkich, M.D.

  • General Practice Physician
  • Ringgold, GA
  • NPI 1811936891
  Authorized official Same address or phone

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1710142955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 COBB PKWY",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307368566",
            "telephone_number": "706-891-1200",
            "fax_number": "706-891-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 COBB PKWY",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307368566",
            "telephone_number": "706-891-1200",
            "fax_number": "706-891-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE MEDICINE & CHELATION THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "BURKICH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "706-891-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "GA",
            "license": "MD046372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "511G70685",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittney Potter, LCSW
• Tajuana Michelle Prater, FNP-C
• Pray Chiropractic P.C.
• Pray Chiropractic PC
• Michael C Preston, MD
• Preventive Medicine Anti-Aging and Chelation, Inc
• Price Ringgold Drug Inc (Price Ringgold Drug)
• Primary Health Care Center of Dade, Inc.
• Primary Health Care Center of Dade, Inc. (College and Career Academy, SBHC)
• Priority Care Medical Center (R. C. P. Medical Center)

• Point of Service in Ringgold, GA
• Providers in Ringgold, GA by specialty
• Point of Service in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.