Active NPI
Wanda Carter-Calhoun, DHSC, MCHES
- Health Educator
- Atlanta, GA
National Provider Identifier
1336682525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 13607
- Practice address
- 784 Red Wolf Run
Atlanta, GA 30349-1215 - Phone
- (678) 360-5465
- NPI assigned
- Nov 21, 2016
- Last updated
- Apr 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 13607 | GA | |
| Health Educator | 174H00000X | 13607 | GA | Primary |
Addresses
Primary practice location
784 Red Wolf Run
Atlanta, GA 30349-1215
Mailing address
784 Red Wolf Run
Atlanta, GA 30349-1215
Phone (678) 360-5465
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 |
|---|---|---|---|
| 13607 | GA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682294400000",
"number": "1336682525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "784 RED WOLF RUN",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303491215",
"telephone_number": "678-360-5465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "784 RED WOLF RUN",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303491215",
"telephone_number": "678-360-5465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER-CALHOUN",
"first_name": "WANDA",
"name_prefix": "Dr.",
"credential": "DHSC, MCHES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-21",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "GA",
"license": "13607",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "GA",
"license": "13607",
"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 Apr 24, 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.