PROVIDENCE HEALTHCARE – Clinical & Laboratory Immunology (Allergy & Immunology) Physician, NPI 1699895961

PROVIDENCE HEALTHCARE is a healthcare provider. based in Atlanta, Georgia. specializing in Clinical & Laboratory Immunology (Allergy & Immunology) Physician. The organization holds a License No. CHIR005530 (GA). The NPI Number for PROVIDENCE HEALTHCARE is 1699895961

Main info

Organization
Name
PROVIDENCE HEALTHCARE
NPI
1699895961
Phone
(770) 676-6000
Address
4646 N SHALLOWFORD RD
Authorized Official
MRS. MARY LEACH OFFICE MANAGER
Enumeration Date
30 March 2007
Last Update Date
21 July 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for PROVIDENCE HEALTHCARE

  • 4646 N SHALLOWFORD RD

    ATLANTA, GA 303386304

    Phone: (770) 676-6000

    Fax: (770) 392-9805

    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.

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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 30338)

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Reviews

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Frequently asked questions

What number should I use to identify PROVIDENCE HEALTHCARE for billing?
Administrative and clinical systems typically use NPI 1699895961 for PROVIDENCE HEALTHCARE.
Is PROVIDENCE HEALTHCARE's NPI status active today?
Active status means PROVIDENCE HEALTHCARE's NPI record is not deactivated in the public file.
What does the directory say PROVIDENCE HEALTHCARE does?
Insurance directories may phrase it differently, but here PROVIDENCE HEALTHCARE maps to Clinical & Laboratory Immunology (Allergy & Immunology) Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to PROVIDENCE HEALTHCARE?
PROVIDENCE HEALTHCARE is associated with Atlanta, Georgia in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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