Organization Active NPI

Atlanta Holistic Health Center

  • Health Service Clinic/Center
  • Decatur, GA
National Provider Identifier
1063942886
Registry record updated Jun 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
ATLANTA HOLISTIC HEALTH CENTER
Practice address
320 Winn Way Ste 101
Decatur, GA 30030-2106
Phone
(404) 697-6886
NPI assigned
Jun 14, 2017
Last updated
Jun 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Li JiangNPI 1407047442
Title
Manager
Phone
(404) 697-6886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

320 Winn Way Ste 101
Decatur, GA 30030-2106

Mailing address

455 Villa Place CT
Tucker, GA 30084-1958
Phone (404) 697-6886

Other identifiers 1

IdentifierTypeStateIssuer
55OtherGAACUPUNCTURE LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

320 Winn Way
Ste 101
Decatur, GA 30030
Phone (404) 697-6886

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497398400000",
    "number": "1063942886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 VILLA PLACE CT",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300841958",
            "telephone_number": "404-697-6886",
            "fax_number": "470-823-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WINN WAY STE 101",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302106",
            "telephone_number": "404-697-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA HOLISTIC HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A",
        "authorized_official_last_name": "JIANG",
        "authorized_official_first_name": "LI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-697-6886"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE LICENSE NUMBER",
            "identifier": "55",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.