INTERVENTIONAL INSTITUTE OF GEORGIA NPI 1508284175

NPI Information

NPI: 1508284175
Provider Name: INTERVENTIONAL INSTITUTE OF GEORGIA
Classification: Podiatrist - 213ER0200X
Entity Type: Organization

Specialization: Radiology

Address:
7130 MOUNT ZION BLVD
SUITE 2
JONESBORO, GA
ZIP 30236
Phone: (770) 506-4007
Get Directions

INTERVENTIONAL INSTITUTE OF GEORGIA is a radiology podiatrist in Jonesboro, GA. INTERVENTIONAL INSTITUTE OF GEORGIA NPI is 1508284175. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7130 MOUNT ZION BLVD
SUITE 2
JONESBORO, GA
ZIP 30236-566
Phone: (770) 506-4007
Fax: (678) 246-5191

The provider's authorized official is Holly Danielle Farrow .
The authorized official title is Clinical Coordinator and has the following contact phone number (770) 820-9222.

The enumeration date for this NPI number is 4/1/2014 and was last updated on 4/1/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ER0200X	Podiatrist	Radiology	043894	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000757314H	MEDICAID	GEORGIA
2	G35635	MEDICARE UPIN	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »