CLINICA AGAVE CLINIC – Family Nurse Practitioner, NPI 1407091705

CLINICA AGAVE CLINIC is a healthcare provider. based in Forest park, Georgia. specializing in Family Nurse Practitioner. The NPI Number for CLINICA AGAVE CLINIC is 1407091705

Main info

Organization
Name
CLINICA AGAVE CLINIC
NPI
1407091705
Phone
(404) 447-3444
Address
4434 JONESBORO RD
Authorized Official
JUDITH T CHABOT PROVIDER FNP-C
Enumeration Date
16 December 2008
Last Update Date
16 December 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:17State licenses:0Digital endpointsOther names

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Provider Addresses for CLINICA AGAVE CLINIC

  • 4434, Jonesboro Road, Woodland Park, Forest Park, Clayton County, Georgia, 30297, United States

    FOREST PARK, GA 302974313

    Phone: (404) 447-3444

    Fax: (404) 377-3445

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30297)

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Reviews

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Frequently asked questions

Is there an official ID for CLINICA AGAVE CLINIC in U.S. healthcare records?
The official identifier for CLINICA AGAVE CLINIC is NPI 1407091705.
Is CLINICA AGAVE CLINIC still an active registrant?
CLINICA AGAVE CLINIC carries an active NPI according to the public dataset.
What kind of doctor is CLINICA AGAVE CLINIC?
CLINICA AGAVE CLINIC is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Georgia is CLINICA AGAVE CLINIC registered?
Use Forest Park, Georgia as the headline location for CLINICA AGAVE CLINIC here.
Can I trust this NPI listing for CLINICA AGAVE CLINIC?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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