Infinite Consulting Empire, LLC
Organization Active NPI Clinic/Center · Jefferson, GA
NPI 1811420060 · NPPES record last updated Apr 24, 2024
Key facts
- NPI
- 1811420060
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- INFINITE CONSULTING EMPIRE, LLC
- Practice address
- 122 Washington St
Suite 7
Jefferson, GA 30549-6660 - Phone
- (706) 367-0830
- NPI assigned
- Apr 5, 2017
- Organization subpart
- No
Authorized official
- Name
- Holly Hughes, RDMS, RDCS, RVT
- Title
- Founding Partner
- Phone
- (706) 612-5322
Practitioners 5
-
Bobby V Khan, M.D.
-
David J Bodne, MD
-
Holly Hughes, RDMS, RVT, RDCS
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200715001675 | GA | Part B Supplier - Clinic/Group Practice | 0749603330 |
Receives reassigned benefits from 2 practitioners Practice locations: Griffin, GA; Jefferson, GA; Woodstock, GA |
National Provider Directory
Locations
122 Washington St
Ste 7
Jefferson, GA 30549
Phone (706) 367-0830
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | GA | Yes |
Addresses
Primary practice location
122 Washington St
Suite 7
Jefferson, GA 30549-6660
Mailing address
122 Washington St
Suite 7
Jefferson, GA 30549-6660
Other practice location 1
100 Stoneforest Dr Ste 100
Woodstock, GA 30189-4881
Phone (678) 653-8211
Other practice location 2
682 S 8th St
Griffin, GA 30224-4214
Phone (706) 367-0830
Other names
- Infinite Imaging
Other providers in Jefferson, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.