SOUTHEAST INTEGRATIVE MEDICINE (NPI# 1841722212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841722212 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST INTEGRATIVE MEDICINE |
| Practice Address |
3939 Roswell Rd Suite 240 Marietta GA 30062-6251 |
| Practice Telephone | 6786713100 |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |
| Authorized Official Name | DR. RONAKKUMAR PATEL (NATUROPATHIC PHYSICIAN) |
| Authorized Official Telephone | 8602127720 |
| Authorized Official Credential | ND |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 099.0128366 | VT | Other Service Providers |
| Street Address |
3939 ROSWELL RD SUITE 240 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-6251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346242229 | Susan Gail Staviss | Pediatrics | 3939 Roswell Rd, Suite 300, Marietta, GA 30062-6251 | 2005-08-11 |
| 1578049656 | Christine Ghilain | Clinical Neuropsychologist | 3939 Roswell Rd, Marietta, GA 30062-6251 | 2018-07-12 |
| 1780924043 | Wellstar Medical Group, LLC | Pediatrics | 3939 Roswell Rd, Suite 300, Marietta, GA 30062-6251 | 2013-02-25 |
| 1275814964 | Wellstar Medical Group, LLC | Family Medicine | 3939 Roswell Rd, Suite 240, Marietta, GA 30062-6251 | 2011-09-08 |
| 1124251590 | Tanya Theriot, Psy.d., P.C. | Psychologist | 3939 Roswell Rd, Suite 185, Marietta, GA 30062-6251 | 2009-09-01 |
| 1952464505 | Marietta Eye Optical Inc | Durable Medical Equipment & Medical Supplies | 3939 Roswell Rd, Suite 100, Marietta, GA 30062-6251 | 2006-12-18 |
| 1689736860 | Marietta Eye Clinic, Pa | Optometrist | 3939 Roswell Rd, Suite 100, Marietta, GA 30062 | 2006-12-14 |
| 1992866818 | Robin Lisa King | Social Worker | 3939 Roswell Rd, Suite 185, Marietta, GA 30062-6251 | 2006-12-13 |
| 1851468078 | Parkway Therapy Services, Inc. Dba East Cobb Physical Therapy | Physical Therapist | 3939 Roswell Rd, Suite 160, Marietta, GA 30062-6251 | 2006-11-30 |
| 1700958394 | Sona P Amin | Internal Medicine | 3939 Roswell Rd, Suite 110, Marietta, GA 30062-6251 | 2006-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528262946 | Raul K Randolph | Naturopath | 155 Brighton Ct Sw, Marietta, GA 30064-4622 | 2007-06-11 |
| 1013267426 | Kriscinda Morgan | Naturopath | 3405 Dallas Hwy Sw, Suite 301, Marietta, GA 30064-6425 | 2012-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790383974 | Gertrise Thomas | Naturopath | 3492 Highway 5 Apt 209, Douglasville, GA 30135-6909 | 2020-10-11 |
| 1164038493 | Anna Bausum | Naturopath | 1396 Normandy Dr Ne Apt 4, Atlanta, GA 30306-2531 | 2020-09-22 |
| 1447877469 | Brennan Roger Milbury | Naturopath | 4876 Ga 196 W, Hinesville, GA 31313 | 2020-06-26 |
| 1174153407 | Stefanie Lyn Fario | Naturopath | 26 Transom Rd, Port Wentworth, GA 31407-5602 | 2020-01-26 |
| 1669023206 | Jameelah Atiya Nelson | Naturopath | 555 Draycott Ct Sw, Atlanta, GA 30331-7677 | 2019-09-25 |
| 1770136335 | Kalli Q Mejia | Naturopath | 1929 Riverlanding Cir, Lawrenceville, GA 30046-2841 | 2019-07-22 |
| 1447802723 | James Munro | Naturopath | 395 Central Park Pl Ne Unit 610, Atlanta, GA 30312-1260 | 2019-07-16 |
| 1851951685 | Ronak Patel | Naturopath | 200 Sandy Springs Pl Ste 200, Atlanta, GA 30328-5917 | 2019-06-14 |
| 1720549421 | Norma Jean Curby | Naturopath | 1117 Perimeter Ctr Ste N316, Atlanta, GA 30338-5443 | 2019-03-26 |
| 1467918102 | Shama Patel | Naturopath | 5755 N Point Pkwy Ste 32, Alpharetta, GA 30022-1143 | 2019-02-19 |
| Find all providers with the same taxonomy | ||||
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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.