South Atlanta Integrative Medicine
NPI 1760848980 · Family Medicine Physician · Fayetteville, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Atlanta Integrative Medicine is a Family Medicine Physician organization in Fayetteville, GA (NPI 1760848980).
Provider details
- NPI number
- 1760848980
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lynn Stanley, Authorized Official(404) 452-9931
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-01-04
- Last updated
- 2016-01-04
Frequently asked questions
- What is South Atlanta Integrative Medicine's NPI number?
- South Atlanta Integrative Medicine's National Provider Identifier (NPI) is 1760848980, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Atlanta Integrative Medicine?
- South Atlanta Integrative Medicine is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is South Atlanta Integrative Medicine located?
- South Atlanta Integrative Medicine's practice location on file with NPPES is 1240 Highway 54 W, Fayetteville, GA 30214-4557.
- What is South Atlanta Integrative Medicine's phone number?
- The practice phone number listed in the NPPES registry for South Atlanta Integrative Medicine is (404) 452-9931.
- Does South Atlanta Integrative Medicine accept Medicare?
- South Atlanta Integrative Medicine is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South Atlanta Integrative Medicine?
- The authorized official listed on South Atlanta Integrative Medicine's NPPES record is Lynn Stanley, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Atlanta Integrative Medicine's NPI active?
- Yes — South Atlanta Integrative Medicine's NPI (1760848980) is active in the NPPES registry as of the last update on 2016-01-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.