Integrated Medical of Georgia, LLC
NPI 1801405998ActiveOrganization· General Practice· Marietta, GA
General Practice in Marietta, Georgia, registered in NPPES in July 2020. The authorized official on file is Enrique Crespo, Clinic Administrator.
Overview
| NPI | 1801405998 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 24, 2020 |
| Last updated in NPPES | Jul 24, 2020 |
| Certified by provider | Jul 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
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 |
|---|
Other General Practice providers in Marietta
- 1609158096
- 1265879977
- 1427244250
- 1851861660
- 1548892458
- 1427830033
- 1548459043
- 1184810913
- 1649544800
- 1508263849
- 1447440524
- 1508051244