Infinite Specialty Medical Services Ga LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

INFINITE SPECIALTY MEDICAL SERVICES GA LLC

Practice address

101 Stockyard Rd
Statesboro, GA 30458-1343

Phone

(718) 534-0689

NPI assigned

Feb 17, 2022

Last updated

Feb 17, 2022By 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

Rekha BhandariNPI 1023035466

Title

Owner

Phone

(718) 534-0689

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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.

• Rekha Bhandari, MD

  • Internal Medicine Physician
  • Ridgewood, NY
  • NPI 1023035466

  GA

  Medicare reassignment Authorized official
• Marlene Beverly Young, NP-BC

  • Nurse Practitioner
  • Bristol, RI
  • NPI 1598394900

  GA

  Medicare reassignment NPD

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1710632880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SKILLMAN ST STE 202",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051218",
            "telephone_number": "718-534-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 STOCKYARD RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581343",
            "telephone_number": "718-534-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE SPECIALTY MEDICAL SERVICES GA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "BHANDARI",
        "authorized_official_first_name": "REKHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-534-0689"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chizoba Ifeorah
• Sajeel Ijaz, M.D.
• Rao Prasad Immaneni, M.D.
• Independent Physical Therapy of Ga, LLC
• Infinite Medical Ga LLC
• Innovative Clinical Services LLC
• Internal Medicine Associates of Statesboro II, PC
• Intune, LLC (InTune Counseling)
• Kristen Leigh Ivey, FNP
• J H Harvey Co LLC (Harveys Supermarket Pharmacy)

• Family Medicine Physician in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.