Organization Active NPI

Huckins Healthcare, PC

  • Clinic/Center
  • Atlanta, GA
National Provider Identifier
1114226719
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CHIR005803 Issued in GA
Legal business name
HUCKINS HEALTHCARE, PC
Practice address
3121 E Shadowlawn Ave NE
Atlanta, GA 30305-2405
Phone
(404) 364-0900
Fax
(404) 364-9030
NPI assigned
Mar 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Authorized official

Name
Tina M Huckins-White, D.C.
Title
President
Phone
(404) 364-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CHIR005803 GA Primary

Addresses

Primary practice location

3121 E Shadowlawn Ave NE
Atlanta, GA 30305-2405

Mailing address

3121 E Shadowlawn Ave NE
Atlanta, GA 30305-2405
Phone (404) 364-0900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1114226719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 E SHADOWLAWN AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052405",
            "telephone_number": "404-364-0900",
            "fax_number": "404-364-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 E SHADOWLAWN AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052405",
            "telephone_number": "404-364-0900",
            "fax_number": "404-364-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUCKINS HEALTHCARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "HUCKINS-WHITE",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-364-0900",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "CHIR005803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.