Organization Active NPI

CHN Healthy Clinic

  • Urgent Care Clinic/Center
  • Cartersville, GA
National Provider Identifier
1548516164
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
172939 Issued in GA
Legal business name
CHN HEALTHY CLINIC
Practice address
650 Henderson Dr
Suite 504
Cartersville, GA 30120-3744
Phone
(770) 334-2485
Fax
(770) 387-1458
NPI assigned
Aug 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Authorized official

Name
Amanda Holcomb
Title
Office Manager
Phone
(770) 334-2485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 172939 GA Primary

Addresses

Primary practice location

650 Henderson Dr
Suite 504
Cartersville, GA 30120-3744

Mailing address

650 Henderson Dr
Suite 504
Cartersville, GA 30120-3744
Phone (770) 334-2485

National Provider Directory

National Provider Directory

Locations

650 Henderson Dr
Ste 504
Cartersville, GA 30120
Phone (678) 605-9111

NPI Registry JSON

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1548516164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 HENDERSON DR",
            "address_2": "SUITE 504",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203744",
            "telephone_number": "770-334-2485",
            "fax_number": "770-387-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HENDERSON DR",
            "address_2": "SUITE 504",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203744",
            "telephone_number": "770-334-2485",
            "fax_number": "770-387-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHN HEALTHY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "HOLCOMB",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-334-2485"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "GA",
            "license": "172939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.