Active NPI
Haviva Goldhagen
- Occupational Medicine Physician
- Atlanta, GA
National Provider Identifier
1184864159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 21152
- Practice address
- 4561 Olde Perimeter Way Apt 2002
Atlanta, GA 30346-6006 - Phone
- (404) 403-0465
- NPI assigned
- Mar 3, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 21152 | GA | Primary |
Addresses
Primary practice location
4561 Olde Perimeter Way Apt 2002
Atlanta, GA 30346-6006
Mailing address
4561 Olde Perimeter Way Apt 2002
Atlanta, GA 30346-6006
Phone (404) 403-0465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21152 | GA | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675814400000",
"number": "1184864159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4561 OLDE PERIMETER WAY APT 2002",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303466006",
"telephone_number": "404-403-0465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4561 OLDE PERIMETER WAY APT 2002",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303466006",
"telephone_number": "404-403-0465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDHAGEN",
"first_name": "HAVIVA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-03",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "GA",
"license": "21152",
"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 Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.