RESTORE FIRST HEALTH RIVERDALE LLC – NPI #1497439509
Internal Medicine

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

Health Care Provider Taxonomy Code for Internal Medicine

RESTORE FIRST HEALTH RIVERDALE LLC is a provider located in RIVERDALE, GA. NPPES has assigned the NPI number 1497439509 to RESTORE FIRST HEALTH RIVERDALE LLC on June 12, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RR0500X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Rheumatology

The NPI profile was last updated on Oct 29, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RESTORE FIRST HEALTH RIVERDALE LLC below.

NPI Profile for
RESTORE FIRST HEALTH RIVERDALE LLC

NPI Number
1497439509
Enumeration Date

(about 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RESTORE FIRST HEALTH RIVERDALE LLC
Primary location
34 UPPER RIVERDALE RD SE STE 101
RIVERDALE, GA 30274-2635
Phone: (470) 292-3820 Fax: (470) 280-9511
Mailing address
10680 MEDLOCK BRIDGE RD STE 101
JOHNS CREEK, GA 30097-8420
Phone: (470) 292-3820 Fax:
Organization Subpart
No
Authorized Official
RANDALL HAUPT
EXECUTIVE VICE PRESIDENT, SGI
Phone: (931) 494-7057
Updated
Certification Date
Oct 29, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RR0500X
- Internal Medicine / Rheumatology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.