1. Home
  2. Directory
  3. Georgia
  4. Riverdale
  5. Specialist
  6. NPI Profile

INTEGRATED HEALTHCARE CENTER OF SOUTHSIDE
NPI 1386217818
Specialist in Riverdale, GA

Active since July 22, 2021
34 UPPER RIVERDALE RD SE STE 206, RIVERDALE, GA 30274(678) 730-6240 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Integrated Healthcare Center Of Southside NPPES

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

INTEGRATED HEALTHCARE CENTER OF SOUTHSIDE (NPI 1386217818) is a healthcare organization registered as a specialist in Riverdale, Georgia and active in the NPI registry since July 2021. The organization lists Alex Jutis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1386217818
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameINTEGRATED HEALTHCARE CENTER OF SOUTHSIDE
Location Address34 UPPER RIVERDALE RD SE STE 206Riverdale, GA 30274-2635
Mailing Address2133 Highway 317 Ste 12-318Suwanee, GA 30024-2648 · (678) 730-6240 · Fax (678) 730-1005
Phone(678) 730-6240
Organization SubpartNo
Authorized OfficialAlex JutisCeo · (678) 730-6240
Enumeration DateJuly 22, 2021
NPPES CertifiedJuly 22, 2021
✔ NPI 1386217818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
34 UPPER RIVERDALE RD SE STE 206, Riverdale, GA 30274
Open in Google Maps ↗

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

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.

SOUTHERN PULMONARY CARE
Internal Medicine (Pulmonary Disease)
34 UPPER RIVERDALE RD SE STE 206
RIVERDALE, GA 30274
Clayton County (770) 473-1993
TRISTAR INJURY CENTER OF RIVERDALE LLC
Internal Medicine
34 UPPER RIVERDALE RD SE STE 206
RIVERDALE, GA 30274
Clayton County (404) 479-1455

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 Healthcare Center Of Southside's NPI number?

The NPI number for Integrated Healthcare Center Of Southside is 1386217818. It was assigned to this organization in the NPPES registry on July 22, 2021.

Where is Integrated Healthcare Center Of Southside located?

Integrated Healthcare Center Of Southside is located at 34 Upper Riverdale Rd SE Ste 206, Riverdale, GA 30274. The listed phone number is (678) 730-6240.

What is Integrated Healthcare Center Of Southside's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Integrated Healthcare Center Of Southside was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.