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ONE MEDICAL
NPI 1104485788
Internal Medicine in Marietta, GA

Active since June 07, 2019CLIA 11D2171334 · Waiver
280 COBB PKWY SE, SUITE 60, MARIETTA, GA 30060(678) 820-7373(844) 947-4322 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 7, 2023, Feb 3, 2023, Jun 7, 2019 (3 updates tracked since 2019).

About One Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ONE MEDICAL (NPI 1104485788) is a healthcare organization registered as an internal medicine in Marietta, Georgia and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through August 28, 2027 and lists Suzanne Hansen, Chief Medicare Program Officer, as its authorized official.

NPPES Registry Identity

NPI1104485788
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameIORA SENIOR HEALTH, LLC
Location Address280 COBB PKWY SE, SUITE 60Marietta, GA 30060
Mailing Address1 Embarcadero Ctr Fl 19San Francisco, CA 94111-3628
Phone(678) 820-7373
Fax(844) 947-4322
Organization SubpartNo
Authorized OfficialSuzanne HansenChief Medicare Program Officer · (415) 814-0927
Enumeration DateJune 7, 2019
Last NPPES UpdateSeptember 7, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
✔ NPI 1104485788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
280 COBB PKWY SE, SUITE 60, Marietta, GA 30060
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Other Names 1

Doing Business AsOne Medical

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2171334

One Medical-Marietta · Marietta, GA
Active · expires Aug 28, 2027
CLIA Number11D2171334
Laboratory TypePhysician Office
Certificate Effective DateAugust 29, 2025
Certificate Expiration DateAugust 28, 2027
Laboratory DirectorShangeetha Balakumar
Laboratory Phone(678) 820-7373
Laboratory LocationOne Medical-Marietta280 Cobb Parkway, SE, Suite 60, Marietta, GA 30060
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IORA HEALTH GEORGIA, P.C.
Internal Medicine
280 COBB PKWY SE, SUITE 60
MARIETTA, GA 30060
Cobb County (888) 663-6331

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Iora Senior Health, LLC's NPI number?

The NPI number for Iora Senior Health, LLC is 1104485788. It was assigned to this organization in the NPPES registry on June 7, 2019. The provider is doing business as One Medical.

Where is Iora Senior Health, LLC located?

Iora Senior Health, LLC is located at 280 Cobb Pkwy SE, Suite 60, Marietta, GA 30060. The listed phone number is (678) 820-7373.

What is Iora Senior Health, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Iora Senior Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2171334) is associated with this NPI, valid through August 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Iora Senior Health, LLC was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.