Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Innovative Medical, Inc

Organization Family Medicine Physician · NPI 1003146143

Innovative Medical, Inc provides Family Medicine Physician services in Suwanee, Georgia. Licensed in Georgia. Registered with an NPI since 2010.

Licensed in
GA
In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1300 Peachtree Industrial Blvd Ste 2203
Suwanee, GA 30024-4539 Not confirmed with CMS for 16 years — call before visiting
Phone: (770) 988-2779
Fax: (678) 730-0229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 058168 (GA)

Record details

NPI number1003146143
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Connie Jeon — Clinic Director · (770) 988-2779
Other names Novo Total Wellness
NPI enumeratedJanuary 13, 2010
Last updated in NPPESJanuary 13, 2010
Mailing address1300 Peachtree Industrial Blvd, Suite 2203, Suwanee, GA 30024-4539

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