INNOVATIVE HEALTH CARE INSTITUTE LLC
NPI 1942723028
Pediatrics - Adolescent Medicine in Athens, GA

Active since July 20, 2017
100 SEAGRAVES DR STE 1, ATHENS, GA 30605(706) 705-2033(706) 850-8005 Get Directions Write a Review

NPPES record last updated: August 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 26, 2021, Jul 20, 2017 (2 updates tracked since 2017).

About Innovative Health Care Institute Llc NPPES

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

INNOVATIVE HEALTH CARE INSTITUTE LLC (NPI 1942723028) is a healthcare organization registered as an adolescent medicine in Athens, Georgia and active in the NPI registry since July 2017. The organization lists Cshanyse Avril Allen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1942723028
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameINNOVATIVE HEALTH CARE INSTITUTE LLC
Location Address100 SEAGRAVES DR STE 1Athens, GA 30605-2492
Mailing Address100 Seagraves Dr Ste 1Athens, GA 30605-2492 · (706) 705-2033 · Fax (706) 850-8005
Fax(706) 850-8005
Organization SubpartNo
Authorized OfficialCshanyse Avril AllenCeo · (706) 705-2033
Enumeration DateJuly 20, 2017
Last NPPES UpdateAugust 26, 20212 updates tracked since enumeration
NPPES CertifiedMay 12, 2021
NPI 1942723028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN146812 (GA)
100 SEAGRAVES DR STE 1, Athens, GA 30605

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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 11D2190649

Innovative Health Care Institute, LLC · Athens, GA
Expired · Aug 17, 2026
CLIA Number11D2190649
Laboratory TypeTechincal School Lab
Certificate Effective DateAugust 18, 2024
Certificate Expiration DateAugust 17, 2026
Laboratory DirectorDiane E. Dunston
Laboratory Phone(706) 705-2033
Laboratory LocationInnovative Health Care Institute, LLC100 Seagraves Drive, Suite 1, Athens, GA 30605
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.

Nurse Practitioner (Family)
100 SEAGRAVES DR STE 1
ATHENS, GA 30605

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 Innovative Health Care Institute LLC's NPI number?

The NPI number for Innovative Health Care Institute LLC is 1942723028. It was assigned to this organization in the NPPES registry on July 20, 2017.

Where is Innovative Health Care Institute LLC located?

Innovative Health Care Institute LLC is located at 100 Seagraves Dr Ste 1, Athens, GA 30605. The listed phone number is (706) 705-2033.

What is Innovative Health Care Institute LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

What insurance does Innovative Health Care Institute LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Innovative Health Care Institute LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Innovative Health Care Institute LLC was last updated on August 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.