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INTEGRATED-ACTIVHEALTHCARE, LLC
NPI 1104967850
Preferred Provider Organization in Lilburn, GA

Active since February 08, 2007
4566 LAWRENCEVILLE HWY NW, LILBURN, GA 30047(770) 455-0040(770) 455-6188 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Integrated-activhealthcare, Llc NPPES

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

INTEGRATED-ACTIVHEALTHCARE, LLC (NPI 1104967850) is a healthcare organization registered as a preferred provider organization in Lilburn, Georgia and active in the NPI registry since February 2007. The organization lists Mark Brickhouse, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1104967850
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameINTEGRATED-ACTIVHEALTHCARE, LLC
Location Address4566 LAWRENCEVILLE HWY NWLilburn, GA 30047-3618
Mailing AddressPo Box 969Lilburn, GA 30048-0969 · (770) 455-0040 · Fax (770) 455-6188
Phone(770) 455-0040
Fax(770) 455-6188
Organization SubpartNo
Authorized OfficialMark BrickhouseDirector Of Operations · (770) 455-0040
Enumeration DateFebruary 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104967850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

4566 LAWRENCEVILLE HWY NW, Lilburn, GA 30047
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Other Providers at the Same Location NPPES 2

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

DR. JAMES L GOODBREAD D.C.
Chiropractor
4566 LAWRENCEVILLE HWY NW, SUITE 201
LILBURN, GA 30047
Gwinnett County (770) 923-3707
DR. VINCENT J. ERARIO JR. D.C.
Chiropractor
4566 LAWRENCEVILLE HWY NW, #201
LILBURN, GA 30047
Gwinnett County (770) 923-3707

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 Integrated-Activhealthcare, LLC's NPI number?

The NPI number for Integrated-Activhealthcare, LLC is 1104967850. It was assigned to this organization in the NPPES registry on February 8, 2007.

Where is Integrated-Activhealthcare, LLC located?

Integrated-Activhealthcare, LLC is located at 4566 Lawrenceville Hwy NW, Lilburn, GA 30047. The listed phone number is (770) 455-0040.

What is Integrated-Activhealthcare, LLC's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Integrated-Activhealthcare, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.