Organization Active NPI

Origin Healthcare LLC

  • Multi-Specialty Clinic/Center
  • Atlanta, GA
National Provider Identifier
1689266314
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ORIGIN HEALTHCARE LLC
Practice address
1120 Curran St NW
Atlanta, GA 30318-5430
Phone
(267) 456-4313
NPI assigned
Feb 4, 2021
Last updated
May 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

Name
Shivan Amin, MDNPI 1275857542
Title
Principal
Phone
(404) 228-9961

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

1120 Curran St NW
Atlanta, GA 30318-5430

Mailing address

1120 Curran St NW Ste 101
Atlanta, GA 30318-5430
Phone (267) 456-4313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210511000590 GA Part B Supplier - Clinic/Group Practice 8527477249 Receives reassigned benefits from 2 practitioners
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

1120 Curran St NW
Atlanta, GA 30318
Phone (267) 456-4313

1120 Curran St NW
Ste 1
Atlanta, GA 30318
Phone (267) 456-4313

1120 Curran St NW
Ste 101
Atlanta, GA 30318
Phone (404) 228-9961

695 Pylant St NE
Ste 240
Atlanta, GA 30306

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1689266314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 CURRAN ST NW STE 101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303185430",
            "telephone_number": "267-456-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 CURRAN ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303185430",
            "telephone_number": "267-456-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGIN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "SHIVAN",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "404-228-9961",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "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 May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.