OPTIMAL INTEGRATIVE CARE, LLC
NPI 1164285151
Internal Medicine - Infectious Disease in Atlanta, GA

Active since February 01, 2024CLIA 11D2293470 · Waiver
3193 HOWELL MILL RD NW STE 125, ATLANTA, GA 30327(404) 352-1223(404) 352-1226 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Optimal Integrative Care, Llc NPPES

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

OPTIMAL INTEGRATIVE CARE, LLC (NPI 1164285151) is a healthcare organization registered as an infectious disease in Atlanta, Georgia and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through November 8, 2027 and lists Sharon Page Dickerson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1164285151
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameOPTIMAL INTEGRATIVE CARE, LLC
Location Address3193 HOWELL MILL RD NW STE 125Atlanta, GA 30327-2100
Mailing AddressPo Box 550428Atlanta, GA 30355-2928 · (404) 352-1223 · Fax (404) 352-1226
Fax(404) 352-1226
Organization SubpartNo
Authorized OfficialSharon Page DickersonVice President · (404) 352-1223
Enumeration DateFebruary 1, 2024
Last NPPES UpdateFebruary 11, 2025
NPPES CertifiedFebruary 11, 2025
NPI 1164285151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X
3193 HOWELL MILL RD NW STE 125, Atlanta, GA 30327

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 11D2293470

Optimal Integrative Care · Atlanta, GA
Active · expires Nov 8, 2027
CLIA Number11D2293470
Laboratory TypePhysician Office
Certificate Effective DateNovember 9, 2025
Certificate Expiration DateNovember 8, 2027
Laboratory DirectorChivon Stubbs
Laboratory Phone(404) 352-1223
Laboratory LocationOptimal Integrative Care3193 Howell Mill Road, NW, Suite 204, Atlanta, GA 30327
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Dietitian, Registered
3193 HOWELL MILL RD NW STE 125
ATLANTA, GA 30327
Internal Medicine (Infectious Disease)
3193 HOWELL MILL RD NW STE 125
ATLANTA, GA 30327
Surgery
3193 HOWELL MILL RD NW STE 125
ATLANTA, GA 30327
Family Medicine
3193 HOWELL MILL RD NW STE 125
ATLANTA, GA 30327
Internal Medicine (Infectious Disease)
3193 HOWELL MILL RD NW STE 125
ATLANTA, GA 30327
Internal Medicine
3193 HOWELL MILL RD NW STE 125
ATLANTA, GA 30327

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 Optimal Integrative Care, LLC's NPI number?

The NPI number for Optimal Integrative Care, LLC is 1164285151. It was assigned to this organization in the NPPES registry on February 1, 2024.

Where is Optimal Integrative Care, LLC located?

Optimal Integrative Care, LLC is located at 3193 Howell Mill Rd NW Ste 125, Atlanta, GA 30327. The listed phone number is (404) 352-1223.

What is Optimal Integrative Care, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Does Optimal Integrative Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2293470) is associated with this NPI, valid through November 8, 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 Optimal Integrative Care, LLC was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.