INTERVENTIONAL INSTITUTE OF GEORGIA (NPI# 1508284175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508284175 |
| Entity Type | Organization |
| Organization Name | INTERVENTIONAL INSTITUTE OF GEORGIA |
| Practice Address |
7130 Mount Zion Blvd Suite 2 Jonesboro GA 30236-2566 |
| Mailing Address |
Po Box 955 Stockbridge GA 30281-0955 |
| Practice Telephone | 7705064007 |
| Practice Fax Number | 6782465191 |
| Mailing Telephone | 7705064007 |
| Mailing Fax Number | 6782465191 |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2014-04-01 |
| Authorized Official Name | HOLLY DANIELLE FARROW (CLINICAL COORDINATOR) |
| Authorized Official Telephone | 7708209222 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ER0200X |
Podiatrist Specialization: Radiology |
043894 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000757314H | 05 |
| Street Address |
7130 MOUNT ZION BLVD SUITE 2 |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236-2566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902883168 | Sendhil K Subramanian | Radiology | 7130 Mount Zion Blvd, Suite 10, Jonesboro, GA 30236-2566 | 2005-12-29 |
| 1225581580 | Sade Latoy Albino | Physical Therapy Assistant | 7130 Mount Zion Blvd, Ste 9, Jonesboro, GA 30236-2566 | 2016-08-03 |
| 1891194684 | Yvonne Holmes | Counselor | 7130 Mount Zion Blvd, Suite 11, Jonesboro, GA 30236-2566 | 2014-08-18 |
| 1720322365 | Joshua Joseph Mann | Podiatrist | 7130 Mount Zion Blvd, Suite 13, Jonesboro, GA 30236-2566 | 2012-11-20 |
| 1720322563 | Loving Touch Christian Academy, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7130 Mount Zion Blvd, Suite 11, Jonesboro, GA 30236-2566 | 2012-11-17 |
| 1851543599 | Robert David Maresca | Physical Therapist | 7130 Mount Zion Blvd, Suite 9, Jonesboro, GA 30236-2566 | 2008-10-14 |
| 1558562579 | International Center for Foot & Ankle Surgery | Clinic/Center | 7130 Mount Zion Blvd, Suite 14, Jonesboro, GA 30236-2566 | 2007-05-29 |
| 1972662856 | The Diabetic Store | Durable Medical Equipment & Medical Supplies | 7130 Mount Zion Blvd, Suite 10, Jonesboro, GA 30236-2566 | 2006-12-07 |
| 1487733739 | Dody Deavours | Physical Therapist | 7130 Mount Zion Blvd, Suite 9, Jonesboro, GA 30236-2566 | 2006-11-06 |
| 1497772438 | Angela Nkoli Okafor | Physical Therapist | 7130 Mount Zion Blvd, Suite 9, Jonesboro, GA 30236-2566 | 2006-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| Taxonomy Code | 213ER0200X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083696090 | Matthew C D Eller | Podiatrist | 2500 Starling St, Suite 301, Brunswick, GA 31520-4265 | 2005-11-16 |
| 1083696389 | Brett A Bodamer | Podiatrist | 2500 Starling St, Suite 301, Brunswick, GA 31520-4265 | 2005-11-14 |
Please comment or provide details below to improve the information on INTERVENTIONAL INSTITUTE OF GEORGIA.
| 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.