NPIMap

Organization Active NPI

Innovative Health & Wellness Buckhead

  • Physical Medicine & Rehabilitation Physician
  • Atlanta, GA
National Provider Identifier
1821484429
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
INNOVATIVE HEALTH & WELLNESS BUCKHEAD
Practice address
3115 Piedmont Rd NE
Ste. 101-a
Atlanta, GA 30305-2529
Phone
(404) 816-0222
Fax
(404) 464-7699
NPI assigned
Apr 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
David M OrlandoNPI 1356571954
Title
Owner
Phone
(404) 816-0222

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

3115 Piedmont Rd NE
Ste. 101-a
Atlanta, GA 30305-2529

Mailing address

3115 Piedmont Rd NE
Ste. 101-a
Atlanta, GA 30305-2529
Phone (404) 816-0222

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1821484429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 PIEDMONT RD NE",
            "address_2": "STE. 101-A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052529",
            "telephone_number": "404-816-0222",
            "fax_number": "404-464-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 PIEDMONT RD NE",
            "address_2": "STE. 101-A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052529",
            "telephone_number": "404-816-0222",
            "fax_number": "404-464-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HEALTH & WELLNESS BUCKHEAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "ORLANDO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-816-0222"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.