IMPLANTABLE PROVIDER GROUP, INC (NPI# 1114077419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114077419 |
| Entity Type | Organization |
| Organization Name | IMPLANTABLE PROVIDER GROUP, INC |
| Other Organization Name | IPG |
| Practice Address |
11605 Haynes Bridge Road Suite 200 Alpharetta GA 30009 |
| Practice Telephone | 7707530046 |
| Practice Fax Number | 7707530194 |
| Mailing Telephone | 8667530046 |
| Mailing Fax Number | 6783414588 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2016-03-15 |
| Authorized Official Name | JAMES ETHRIDGE (PRESIDENT AND CEO) |
| Authorized Official Telephone | 8667530046 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| IPG | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | IMPLANTABLE PROVIDER GROUP, INC. | 2300 Lakeview Parkway, Ste 500, Alpharetta, Georgia 30009 |
| Connecticut Business Registrations | Implantable Provider Group, Inc. | 11605 Haynes Bridge Rd., Suite 200, Alpharetta, GA 30009 |
| Colorado Business Entities | Implantable Provider Group, Inc. | 11605 Haynes Bridge Rd, Suite 200, Alpharetta, GA 30009 |
| Massachusetts Corporations | IMPLANTABLE PROVIDER GROUP, INC. | 11605 Haynes Bridge Rd, Suite 200, Alpharetta, GA 30009 |
| Indiana Business Entities | IMPLANTABLE PROVIDER GROUP, INC. | 11605 Haynes Bridge Road, Ste 200, Alpharetta, GA 30009 |
| Street Address |
11605 HAYNES BRIDGE ROAD SUITE 200 |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861017634 | Trinity Care Counseling | Community/Behavioral Health | 3475 Northwinds Parkway, 200, Alpharetta, GA 30009 | 2020-06-08 |
| 1437778354 | Therapeutic Alliance LLC | Social Worker | 2300 Lakeview Parkway, Suite 700, Alpharetta, GA 30009 | 2020-04-10 |
| 1457901209 | Carehere LLC | Family Medicine | Carehere Clinic- Jackson Healthcare, 2655 Northwinds Pkwy, Alpharetta, GA 30009 | 2019-09-13 |
| 1952888927 | Total Access Pediatrics LLC | Pediatrics | 401 S Main St Ste A1, Alpharetta, GA 30009 | 2018-07-23 |
| 1356836878 | Hcenti, LLC | Audiologist-Hearing Aid Fitter | 2365 Old Milton Parkway, Alpharetta, GA 30009 | 2018-06-27 |
| 1093203341 | Samantha Elizabeth Heuwagen | Marriage & Family Therapist | 286 S Main St Ste 100, Alpharetta, GA 30009 | 2018-04-23 |
| 1275035578 | Personal Concierge Md, LLC | Internal Medicine | 10105 Westside Parkway, Suite 110, Alpharetta, GA 30009 | 2018-03-02 |
| 1124474929 | Allyne Anesthesia PC | Anesthesiology | 11675 Rainwater Drive, Suite 250, Alpharetta, GA 30009 | 2016-05-11 |
| 1932579885 | Patricia Aycock Jones Garrett | Nurse Practitioner | 1031a Cambridge Square, Alpharetta, GA 30009 | 2015-10-05 |
| 1558770123 | Terry A Williams | Physician Assistant | 2400 Old Milton Parkway, #1433, Alpharetta, GA 30009 | 2014-08-07 |
| Find all providers in zip 30009 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003455965 | Full Motion Medical | Durable Medical Equipment & Medical Supplies | 8000 Avalon Blvd Ste 100, Alpharetta, GA 30009-2469 | 2019-12-24 |
| 1518424373 | Medworx Home Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 1020 Nine North Dr Ste A, Alpharetta, GA 30004-2911 | 2019-02-27 |
| 1215428685 | Advanced Cosmetic and Family Dentistry, PC | Durable Medical Equipment & Medical Supplies | 4205 North Point Parkway Bldg D, Alpharetta, GA 30022 | 2018-05-22 |
| 1568974749 | Pristine Medical Services,inc | Durable Medical Equipment & Medical Supplies | 13065 New Providence Rd, Alpharetta, GA 30004-7303 | 2017-10-28 |
| 1376066985 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3719 Old Alabama Rd Bldg 100, Alpharetta, GA 30022-8675 | 2017-07-25 |
| 1710331145 | Onpoint Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 3420 Archgate Ct, Alpharetta, GA 30004-3246 | 2016-04-22 |
| 1386065498 | Home Infusion Solutions LLC | Durable Medical Equipment & Medical Supplies | Two Point Royal 4550 North Point Parkway, Suite 145, Alpharetta, GA 30022 | 2013-12-17 |
| 1588802474 | Peachtree Orthopaedic Clinic | Durable Medical Equipment & Medical Supplies | 11800 Amber Park Dr., Parkway 400 Building One Suite 200, Alpharetta, GA 30009 | 2009-01-30 |
| 1497905657 | Access Healthcare Products, LLC | Durable Medical Equipment & Medical Supplies | 555 N Point Ctr E Fl 4, Alpharetta, GA 30022-8269 | 2008-09-24 |
| 1497904072 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 12305 Crabapple Rd, Alpharetta, GA 30004-6328 | 2008-09-18 |
| Find all providers in ALPHARETTA | ||||
| City | ALPHARETTA |
| Zip Code | 30009 |
Please comment or provide details below to improve the information on IMPLANTABLE PROVIDER GROUP, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.