Organization Active NPI

Metro Premier Integrated Medicine LLC

  • Family Nurse Practitioner
  • Alpharetta, GA
National Provider Identifier
1992398507
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
METRO PREMIER INTEGRATED MEDICINE LLC
Practice address
4575 Webb Bridge Rd
Alpharetta, GA 30005-4256
Phone
(678) 580-5958
Fax
(770) 807-0978
NPI assigned
Feb 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Authorized official

Name
Annie Howell-Freckleton, ARNP-C
Title
Ceo
Phone
(678) 580-5898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

4575 Webb Bridge Rd
Alpharetta, GA 30005-4256

Mailing address

4575 Webb Bridge Rd
Alpharetta, GA 30005-4256
Phone (678) 580-5958

National Provider Directory

National Provider Directory

Locations

4575 Webb Bridge Rd
Alpharetta, GA 30005
Phone (404) 491-9116

NPI Registry JSON

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1992398507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 WEBB BRIDGE RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054256",
            "telephone_number": "678-580-5958",
            "fax_number": "770-807-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 WEBB BRIDGE RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054256",
            "telephone_number": "678-580-5958",
            "fax_number": "770-807-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO PREMIER INTEGRATED MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "HOWELL-FRECKLETON",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-580-5898",
        "authorized_official_credential": "ARNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.