NPIMap

Organization Active NPI

Innovative Health and Wellness LLC

  • Internal Medicine Physician
  • Woodstock, GA
National Provider Identifier
1760796601
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33179 Issued in GA
Legal business name
INNOVATIVE HEALTH AND WELLNESS LLC
Practice address
295 Molly Lane
Suite 150
Woodstock, GA 30189-6508
Phone
(770) 926-4646
Fax
(770) 966-8870
NPI assigned
Aug 3, 2010
Last updated
Sep 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Authorized official

Name
Dr. David Matthew Orlando, D.C.NPI 1356571954
Title
President
Phone
(770) 926-4646

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5357 GA
Internal Medicine Physician 207R00000X 33179 GA Primary

Addresses

Primary practice location

295 Molly Lane
Suite 150
Woodstock, GA 30189-6508

Mailing address

295 Molly LN
Suite 150
Woodstock, GA 30189-3760
Phone (770) 926-4646

National Provider Directory

National Provider Directory

Locations

3115 Piedmont Rd NE
Ste A101
Atlanta, GA 30305
Phone (404) 812-0222

295 Molly Ln
Ste 150
Woodstock, GA 30189
Phone (770) 926-4646

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1760796601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 MOLLY LN",
            "address_2": "SUITE 150",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301893760",
            "telephone_number": "770-926-4646",
            "fax_number": "770-966-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 MOLLY LANE",
            "address_2": "SUITE 150",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896508",
            "telephone_number": "770-926-4646",
            "fax_number": "770-966-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "ORLANDO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-926-4646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "5357",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "33179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.