Healthsite Clinic Onsite Clinic City of Atlanta
Organization Active NPI Preventive Medicine/Occupational Environmental Medicine Physician · Atlanta, GA
NPI 1194255281 · NPPES record last updated Jun 13, 2017
Key facts
- NPI
- 1194255281
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X
- Legal business name
- HEALTHSITE CLINIC ONSITE CLINIC CITY OF ATLANTA
- Practice address
- 235 Central Ave SW Ste
Atlanta, GA 30303-3642 - Phone
- (704) 529-6161
- NPI assigned
- Jun 13, 2017
- Organization subpart
- No
Authorized official
- Name
- Warren Hutton
- Title
- Coo
- Phone
- (704) 529-6161
Corporate family (same tax ID) 16
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2131569 | Healthstat Onsite Clinic-City of Atlanta | Certificate of waiver | May 31, 2027 |
National Provider Directory
- Tax ID family
- Healthstat on-Site Clinicmilliken Kex
Locations
235 Central Ave SW
Atlanta, GA 30303
Phone (404) 546-4731
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician |
2083P0500X | Yes |
Addresses
Primary practice location
235 Central Ave SW Ste
Atlanta, GA 30303-3642
Mailing address
4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916
Phone (704) 935-5546
Other providers in Atlanta, GA
- Healthcare Advocates, LLC
- Healthcare Equity Solutions
- Healthcare Mobility
- Healthcare Staffing Incorporated
- Healthcare Support Home Care LLC
- Healthsource of Inman Park
- Healthy Mind - Full Life, LLC
- Healthy Minds Services LLC
- Healthy Profits LLC
- Healthy Routines Integrated Care LLC
All providers in Atlanta, GA · Preventive Medicine/Occupational Environmental Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.