INTEGRATED MEDICAL OF GEORGIA, LLC
NPI 1801405998
General Practice in Marietta, GA

Active since July 24, 2020
596 SEMINOLE DR NE, MARIETTA, GA 30060(770) 428-4909 Get Directions Write a Review

NPPES record last updated: July 24, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Integrated Medical Of Georgia, Llc NPPES

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

INTEGRATED MEDICAL OF GEORGIA, LLC (NPI 1801405998) is a healthcare organization registered as a general practice in Marietta, Georgia and active in the NPI registry since July 2020. The organization lists Enrique Crespo, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1801405998
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameINTEGRATED MEDICAL OF GEORGIA, LLC
Location Address596 SEMINOLE DR NEMarietta, GA 30060-1508
Mailing Address596 Seminole Dr NeMarietta, GA 30060-1508 · (770) 428-4909
Organization SubpartNo
Authorized OfficialEnrique CrespoClinic Administrator · (770) 428-4909
Enumeration DateJuly 24, 2020
NPPES CertifiedJuly 24, 2020
NPI 1801405998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
596 SEMINOLE DR NE, Marietta, GA 30060

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 3

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

Clinic/Center
596 SEMINOLE DR NE
MARIETTA, GA 30060
Chiropractor
596 SEMINOLE DR NE
MARIETTA, GA 30060
Chiropractor
596 SEMINOLE DR NE
MARIETTA, GA 30060

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 Medical Of Georgia, LLC's NPI number?

The NPI number for Integrated Medical Of Georgia, LLC is 1801405998. It was assigned to this organization in the NPPES registry on July 24, 2020.

Where is Integrated Medical Of Georgia, LLC located?

Integrated Medical Of Georgia, LLC is located at 596 Seminole Dr NE, Marietta, GA 30060. The listed phone number is (770) 428-4909.

What is Integrated Medical Of Georgia, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Integrated Medical Of Georgia, LLC was last updated on July 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.