PROVIDENCE HEALTHCARE
NPI 1699895961
Allergy & Immunology - Clinical & Laboratory Immunology in Atlanta, GA
NPI Status: Active since March 30, 2007
Contact Information
4646 N SHALLOWFORD RD
ATLANTA, GA
ZIP 30338
Phone: (770) 676-6000
Fax: (770) 392-9805
- Organization
- Allergy & Immunology
- Clinical & Laboratory Immunology
About PROVIDENCE HEALTHCARE
This page provides the complete NPI Profile along with additional information for Providence Healthcare, a provider established in Atlanta, Georgia operating as a Allergy & Immunology, focusing in clinical & laboratory immunology . The healthcare provider is registered in the NPI registry with number 1699895961 assigned on March 2007. The practitioner's primary taxonomy code is 207KI0005X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Mary Leach (Office Manager)
- NPI
- 1699895961
- Provider Name
- PROVIDENCE HEALTHCARE
- Entity Type
- Organization
- Location Address
- 4646 N SHALLOWFORD RD ATLANTA, GA 30338
- Location Phone
- (770) 676-6000
- Location Fax
- (770) 392-9805
- Mailing Address
- 4646 N SHALLOWFORD RD ATLANTA, GA 30338
- Mailing Phone
- (770) 676-6000
- Mailing Fax
- (770) 392-9805
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-30-2007
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Allergy & Immunology Clinical & Laboratory Immunology
- Taxonomy Code
- 207KI0005X
- Type
- Allopathic & Osteopathic Physicians
- License State
- GA
- Taxonomy Description
- An allergy and immunology physician who specializes in clinical and laboratory immunology disease management. Source: National Uniform Claim Committee, 2022 Additional Resources: A certification was, but is no longer, issued by the American Board of Allergy and Immunology.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 111N00000X | Chiropractic Providers | Chiropractor | CHIR005530 (GA) |
| 2 | 171100000X | Other Service Providers | Acupuncturist | 000186 (FL) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 50014615 | OTHER (01) | GA | TAT |
| 826713 | OTHER (01) | GA | BLUECROSS BLUE SHIELD |
| D44849 | OTHER (01) | GA | UPIN |
Reviews for PROVIDENCE HEALTHCARE
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 9 | 9 | 8 | 9 | 5 | 9 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 18 | 9 | 16 | 9 | 10 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 8 + 9 + 1 + 6 + 9 + 1 + 0 + 9 + 1 + 2 + 24 = 79 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 79 = 1 | 1 | ||||||||
The NPI number 1699895961 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1760531412 | DR. DECARR DOWAN COVINGTON MD Individual | Internal Medicine | 4646 N SHALLOWFORD RD STE 200 ATLANTA, GA 30338 (770) 455-6100 |
| 1194931402 | CARI CATER LAC Individual | Acupuncturist | 4646 N SHALLOWFORD RD ATLANTA, GA 30338 (941) 228-2833 |
| 1962654848 | MELISSA MARIE ARNOLD D.C. Individual | Chiropractor | 4646 N SHALLOWFORD RD ATLANTA, GA 30338 (770) 676-6000 |
| 1649413238 | PROGRESSIVE MEDICAL CENTER, PC Organization | General Practice | 4646 N SHALLOWFORD RD #500 ATLANTA, GA 30338 (770) 676-6000 |
| 1972807865 | PROGRESSIVE PAIN MANAGEMENT, PC Organization | Chiropractor | 4646 N SHALLOWFORD RD ATLANTA, GA 30338 (770) 676-6000 |
| 1700183357 | PMC HEALTHCARE AND DIAGNOSTICS PC Organization | General Practice | 4646 N SHALLOWFORD RD ATLANTA, GA 30338 (770) 676-6000 |
| 1578803524 | PRO HEALTHCARE & DIAGNOSTICS, LLC Organization | General Practice | 4646 N SHALLOWFORD RD ATLANTA, GA 30338 (678) 736-6342 |
| 1407197650 | NICOLE KROKO STROVINSKAS DIETITIAN Individual | Dietitian, Registered | 4646 N SHALLOWFORD RD ATLANTA, GA 30338 (770) 676-6000 |
| 1700127958 | DAWN E REPPUCCI Individual | Dietitian, Registered | 4646 N SHALLOWFORD RD ATLANTA, GA 30338 (770) 676-6000 |
| 1942625926 | DR. KIMBERLY WILLIFORD MS RD NMD Individual | Naturopath | 4646 N SHALLOWFORD RD ATLANTA, GA 30338 (678) 770-6000 |
| 1497171177 | ILAN IRIE Individual | Reflexologist | 4646 N SHALLOWFORD RD DUNWOODY, GA 30338 (770) 676-6000 |
| 1801212501 | STACY MOBLEY Individual | Naturopath | 4646 N SHALLOWFORD RD ATLANTA, GA 30338 (770) 676-6000 |
| 1497170492 | GEZ AGOLLI ND, PHD Individual | Naturopath | 4646 N SHALLOWFORD RD ATLANTA, GA 30338 (770) 676-6000 |
| 1275959041 | MICHAEL GRAMAZIO ND Individual | Naturopath | 4646 N SHALLOWFORD RD ATLANTA, GA 30338 (678) 736-6348 |
| 1295151066 | MRS. CHERYL BURDETTE ND Individual | Naturopath | 4646 N SHALLOWFORD RD DUNWOODY, GA 30338 (678) 736-6374 |
| 1225455009 | MRS. PATTI MATALONE Individual | Registered Nurse | 4646 N SHALLOWFORD RD ATLANTA, GA 30338 (770) 676-6000 |
| 1861871535 | DR. KYLE MEYER N.D. Individual | Naturopath | 4646 N SHALLOWFORD RD ATLANTA, GA 30338 (770) 676-6000 |
| 1699141218 | PROMED ACCIDENT INJURY CENTER LLC Organization | Physical Medicine & Rehabilitation | 4646 N SHALLOWFORD RD ATLANTA, GA 30338 (770) 676-6000 |
| 1295181261 | PROGRESSIVE HEALTHCARE & DIAGNOSTICS, LLC Organization | General Practice | 4646 N SHALLOWFORD RD ATLANTA, GA 30338 (678) 736-6343 |
| 1437688355 | LOREN KENNEDY PSALIDAS RD Individual | Dietitian, Registered | 4646 N SHALLOWFORD RD ATLANTA, GA 30338 (770) 676-6000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699895961, enumerated in the NPI registry as an "organization" on March 30, 2007
The provider is located at 4646 N Shallowford Rd Atlanta, Ga 30338 and the phone number is (770) 676-6000
This medical organization specializes in Allergy & Immunology with taxonomy code 207KI0005X with a focus in Clinical & Laboratory Immunology
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on March 30, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.