IDEA BODY INSTITUTE ATLANTA ASC (NPI# 1285265546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285265546 |
| Entity Type | Organization |
| Organization Name | IDEA BODY INSTITUTE ATLANTA ASC |
| Other Organization Name | IDEA BODY INSTITUTE ATLANTA ASC |
| Practice Address |
371 E Paces Ferry Rd Ne Ste 450 Atlanta GA 30305-3292 |
| Practice Telephone | 6784666760 |
| Mailing Telephone | 6784666760 |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-02-17 |
| Authorized Official Name | NATASHA LINDSAY (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 6784666760 |
| Is Organization Subpart | Y |
| Parent Organization Name | GEORGIA SURGICARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 1558539155 | 05 | |
| GA | 1992981302 | 05 |
| Other Name | Type Code |
|---|---|
| Idea Body Institute Atlanta ASC | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 367 Athens Hwy Ste 100, Loganville, GA 300522207 | 6784666760 |
| Street Address |
371 E PACES FERRY RD NE STE 450 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30305-3292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659981322 | Gerald E Roettger | Physical Therapist | 2955 Peachtree Road Nw, Suite A1, Atlanta, GA 30305 | 2020-08-06 |
| 1689202681 | Pt Hills Place Terraces LLC | Assisted Living Facility | 229 Peachtree Hills Place, Atlanta, GA 30305 | 2020-03-27 |
| 1043704299 | Alyssa Elrod Utz | Pharmacist | 3495 Piedmont Road, First Floor, Suite 110, Atlanta, GA 30305 | 2018-06-20 |
| 1508373689 | Kathryn Gohde | Counselor | 3525 Piedmont Rd Nw, Bldg 7 Suite 408, Atlanta, GA 30305 | 2018-01-10 |
| 1386195154 | Ryan Gabriel Wilkins | Physical Therapist | 550 Pharr Rd Ne Ste 550, Atlanta, GA 30305 | 2016-10-17 |
| 1821440587 | Monica Martinez Dicristina | Counselor | 3525 Piedmont Road, Building 7, Suite 408, Atlanta, GA 30305 | 2016-07-06 |
| 1164879532 | Brittany Nicole Albritton | Physical Therapist | 3169 Maple Drive Ne, Atlanta, GA 30305 | 2016-05-16 |
| 1588039275 | Alaina Blevins | Physician Assistant | 240 Pharr Rd Ne, Atlanta, GA 30305 | 2015-12-07 |
| 1558750141 | A2h2 | Clinic/Center | 2909 Peachtree Rd; Nw;, Atlanta, GA 30305 | 2015-01-20 |
| 1144619016 | We Up Home Health Services LLC | Clinic/Center | 2909 Peachtree Rd; Nw, Atlanta, GA 30305 | 2015-01-15 |
| Find all providers in zip 30305 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1447861950 | Phynova Mso, LLC | General Practice | 1718 Peachtree St Nw Ste 380, Atlanta, GA 30309-2498 | 2020-08-10 |
| 1770121030 | New Life Medical Centers Georgia LLC | General Practice | 3550 Lenox Rd Ne Ste 2100, Atlanta, GA 30326-1810 | 2019-12-18 |
| 1790292688 | Battery Healthcare LLC | General Practice | 2550 Heritage Ct Se Ste 155, Atlanta, GA 30339-3065 | 2018-01-02 |
| 1255882353 | Pro-medical Center LLC | General Practice | 2090 Dunwoody Club Dr Ste 106-241, Atlanta, GA 30350-5434 | 2016-10-24 |
| 1174917470 | Thomas Merryfield Jarrett | General Practice | 2870 Peachtree Rd Nw Ste 915-3296, Atlanta, GA 30305-2918 | 2015-03-24 |
| 1306247663 | Hbisc | General Practice | 3118 Esplanade Cir Sw, Atlanta, GA 30311-4221 | 2014-09-05 |
| 1891106183 | Stephanie Elizabeth James | General Practice | 315 Boulevard Ne Ste 516, Atlanta, GA 30312 | 2014-05-08 |
| 1871928747 | Shefffrin Men's Health-midtown, P.C. | General Practice | 2025 Monroe Dr Ne, Suite A, Atlanta, GA 30324-4830 | 2013-09-10 |
| 1750721221 | International Community Medical Network, LLC | General Practice | 1900 Windsor Dr Sw, Atlanta, GA 30311-4414 | 2013-06-28 |
| 1457692956 | Pmc Medical & Diagnostics, LLC | General Practice | 4646 N Shallowford Rd Ste 100, Atlanta, GA 30338-6308 | 2013-03-07 |
| Find all providers in ATLANTA | ||||
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| 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.