Chastain Integrative Medicine LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CHASTAIN INTEGRATIVE MEDICINE LLC

Practice address

80 W Wieuca Rd NE Ste 201
Atlanta, GA 30342-3243

Phone

(470) 443-8988

Fax

(404) 975-3191

NPI assigned

Jun 9, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Contessa D Metcalfe, MDNPI 1639133135

Title

Physician/Owner

Phone

(616) 308-1701

Specialties & licenses 6

Addresses

Other names 1

• Chastain Integrative Medicine Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Contessa Direan Metcalfe, M.D.

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1639133135
  NPD Authorized official

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1245914449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 NORTHSIDE DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274419",
            "telephone_number": "616-308-1701",
            "fax_number": "404-975-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 W WIEUCA RD NE STE 201",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423243",
            "telephone_number": "470-443-8988",
            "fax_number": "404-975-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHASTAIN INTEGRATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "METCALFE",
        "authorized_official_first_name": "CONTESSA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "616-308-1701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chastain Integrative Medicine",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kelsey Chase
• Lana Marie Chase, CNS
• Devorah Chasen
• Chastain Dental Group LLC
• Chastain Dental Studio LLC
• Janet Chastain, NNP
• Marsharee A Chastain, LCSW
• Michael Kirk Chastain, CRNA
• Chastainmd
• Audrey Chasteen, PA

• Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.

Verify at the official NPI Registry.