OrganizationActive
Illuminate Medical LLC
NPI 1831928126 · General Practice Physician · Flowery Branch, GA
Provider details
- NPI number
- 1831928126
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Seth Illu, President(470) 846-3790
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
5257 Bowman Springs Trl
Flowery Branch, GA 30542-5193
Phone: (470) 846-3790
Street-level locationGet directions
Mailing address
5257 Bowman Springs Trl
Flowery Branch, GA 30542-5193
Registry dates
- Enumerated
- 2024-07-26
- Last updated
- 2024-07-26
- Certified
- 2024-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.