Innovative Medical, Inc.
NPI 1003146143ActiveOrganization· Family Medicine· Suwanee, GA
Family Medicine in Suwanee, Georgia, registered in NPPES in January 2010. The authorized official on file is Connie Y. Jeon, DPT, MPH, Clinic Director.
Overview
| NPI | 1003146143 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 13, 2010 |
| Last updated in NPPES | Jan 13, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 058168 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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