FUNCTIONAL HEALTH INC (NPI# 1184944118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184944118 |
| Entity Type | Organization |
| Organization Name | FUNCTIONAL HEALTH INC |
| Practice Address |
455 E Paces Ferry Rd Ne Suite 201 Atlanta GA 30305-3313 |
| Practice Telephone | 4049412000 |
| Mailing Telephone | 4049412000 |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2015-11-05 |
| Authorized Official Name | DR. HENRY JACOBS (DIRECTOR) |
| Authorized Official Telephone | 4049412000 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
455 E PACES FERRY RD NE SUITE 201 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30305-3313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902813124 | Sara Alice Peterson | Counselor | 455 E Paces Ferry Rd Ne, Suite 312, Atlanta, GA 30305-3313 | 2006-08-01 |
| 1992169106 | Optimal Hearing Systems, Inc | Clinic/Center | 455 E Paces Ferry Rd Ne, Suite 210, Atlanta, GA 30305-3313 | 2016-04-13 |
| 1053778977 | Karen S Hebert | Counselor | 455 E Paces Ferry Rd Ne, 204, Atlanta, GA 30305-3313 | 2016-01-22 |
| 1538559729 | Mind's Eye Enterprises, LLC | Preferred Provider Organization | 455 E Paces Ferry Rd Ne, Suite 332, Atlanta, GA 30305-3313 | 2015-01-27 |
| 1346657806 | Agni Counseling, LLC | Social Worker | 455 E Paces Ferry Rd Ne, Suite 332, Atlanta, GA 30305-3313 | 2014-07-16 |
| 1649695669 | Jennifer Myers | Acupuncturist | 455 E Paces Ferry Rd Ne, Suite 201, Atlanta, GA 30305-3313 | 2014-02-27 |
| 1316206055 | Wellness Learning Center Inc | Clinic/Center | 455 E Paces Ferry Rd Ne, Suite 201, Atlanta, GA 30305-3313 | 2012-05-15 |
| 1255697280 | Jana Sample | Acupuncturist | 455 E Paces Ferry Rd Ne, Suite 201, Atlanta, GA 30305-3313 | 2012-04-04 |
| 1689994535 | Daniel T Mullins | Psychologist | 455 E Paces Ferry Rd Ne, Suite 228, Atlanta, GA 30305-3313 | 2010-06-02 |
| 1093988354 | Maureen Hannah Vellia | Chiropractor | 455 E Paces Ferry Rd Ne, Suite 222, Atlanta, GA 30305-3313 | 2008-04-08 |
| Find all providers in the same location | ||||
| 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 | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164966461 | Pro Radiology, LLC | Clinic/Center | 60 Peachtree Park Dr Ne, Atlanta, GA 30309-1304 | 2016-12-06 |
| 1457705535 | American Health Imaging of Ga LLC | Clinic/Center | 6095 Barfield Rd, Suite 100, Atlanta, GA 30328-4408 | 2016-04-14 |
| 1891151064 | American Health Imaging of Ga, LLC | Clinic/Center | 6590 Powers Ferry Rd, Atlanta, GA 30339-2933 | 2016-01-04 |
| 1982960787 | Greater Georgia Radiology | Clinic/Center | 2002 Summit Blvd, Suite 300, Atlanta, GA 30319-1560 | 2012-04-05 |
| 1932362159 | Dallas Imaging Solutions LLC | Clinic/Center | 1555 Rainier Falls Dr Ne, Atlanta, GA 30329-4105 | 2008-07-08 |
| 1336287101 | Darco Development Co. | Clinic/Center | 3101-a Clairmont Rd, Atlanta, GA 30329 | 2007-02-02 |
| 1801834551 | Medica Stand-up Mri, LLC | Clinic/Center | 6590 Powers Ferry Rd Nw, Atlanta, GA 30339-2933 | 2006-06-03 |
| 1255339107 | Lifetest of Georgia, LLC | Clinic/Center | 1140 Hammond Dr Ne, Building I, Ste 9120, Atlanta, GA 30328-5338 | 2005-07-13 |
| 1194179788 | Ortho Sport & Spine Physicians Sandy Springs | Clinic/Center | 5788 Roswell Rd, Atlanta, GA 30328-4904 | 2016-04-20 |
| 1518335769 | Dunwoody Imaging LLC | Clinic/Center | 1750 Old Spring House Ln, Suite 205, Atlanta, GA 30338-6214 | 2015-09-04 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on FUNCTIONAL HEALTH 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.