INTEGRATED MEDICINE OF ATHENS, LLC (NPI# 1235603176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235603176 |
| Entity Type | Organization |
| Organization Name | INTEGRATED MEDICINE OF ATHENS, LLC |
| Practice Address |
623 N Milledge Ave Unit A Athens GA 30601-3803 |
| Practice Telephone | 7062273292 |
| Practice Fax Number | 8888099345 |
| Mailing Telephone | 7062273292 |
| Mailing Fax Number | 8888099345 |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |
| Authorized Official Name | DR. JOEL THOMAS GROFT (PRESIDENT) |
| Authorized Official Telephone | 7062273292 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
623 N MILLEDGE AVE UNIT A |
| City | ATHENS |
| State | GA |
| Zip Code | 30601-3803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154971679 | Classic City Counseling & Consultation LLC | Psychologist | 159 Oneta St., Unit 1a Suite 7, Athens, GA 30601 | 2019-09-17 |
| 1982172433 | Smith Dental Care of Athens Inc. | Clinic/Center | 801 Us Highway 29 North, Athens, GA 30601 | 2018-11-02 |
| 1356865935 | Elizabeth Anne Price | Pharmacist | 9249 Hwy 29, Athens Community Based Outpatient Va Clinic, Athens, GA 30601 | 2017-07-26 |
| 1386011575 | Janna Barham Cleveland | Nurse Practitioner | 496 Reese Street, Athens, GA 30601 | 2015-08-24 |
| 1295113769 | Brent Dillin Temple | Case Manager/Care Coordinator | 9249 Highway 29 North, Athens, GA 30601 | 2015-05-15 |
| 1356736417 | Brett Magner | Family Medicine | 855 W Broad St Ste 1, Athens, GA 30601 | 2015-04-05 |
| 1619397478 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 700 Highway 29 N, Athens, GA 30601 | 2014-04-21 |
| 1972921021 | Issa Papiss Bagayogo | Psychiatry & Neurology | 297 Prince Avenue Suite 28a, Athens, GA 30601 | 2014-04-04 |
| 1447682083 | Brittany Lynn Lowery | Counselor | 250 Bray Street, Athens, GA 30601 | 2013-08-06 |
| 1417194135 | Carey Kirk | Counselor | 295 Mles St, Athens, GA 30601 | 2009-01-16 |
| Find all providers in zip 30601 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629470356 | American Family Care, Inc. | General Practice | 1285 Hwy 72 East, Athens, AL 35611-0000 | 2014-09-25 |
| 1891013090 | William Austin Zorn Jr. | General Practice | 2440 W Broad St Ste 1, Athens, GA 30606-3429 | 2010-05-12 |
| 1811178569 | Athens Attentive Md, LLC | General Practice | 455 Epps Bridge Pkwy, Building 100, Suite 102, Athens, GA 30606-3347 | 2007-11-23 |
| 1477671253 | Paul Collins Broun Jr. | General Practice | 1221 Knob Creek Dr, Athens, GA 30606-7040 | 2007-03-27 |
| 1356498380 | Gail L Hurley | General Practice | 402 Mckinley Dr, Athens, GA 30601-3261 | 2007-01-04 |
| 1952412280 | Max Evans Ayer | General Practice | 218 South Palestine, Athens, TX 75751 | 2006-08-31 |
| 1639116197 | Rodney Dunham | General Practice | 2324 Congress Pkwy S, Athens, TN 37303-2820 | 2006-06-01 |
| 1538146055 | Randall L Dearment | General Practice | 902 W Washington St, Athens, AL 35611-2438 | 2005-12-27 |
| 1437151024 | Christopher Simpson | General Practice | 265 W Union St, Suite B, Athens, OH 45701 | 2005-08-12 |
| 1669474375 | John Dennis Cunningham | General Practice | 2 Health Center Dr, Athens, OH 45701-2907 | 2005-08-12 |
| Find all providers in ATHENS | ||||
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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.