Casandra M Kidd, DRPH

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Practice address

3343 Peachtree Rd NE Ste 145-1207
Atlanta, GA 30326-1085

Phone

(404) 791-7201

NPI assigned

Sep 7, 2022

Last updated

Oct 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atlanta HIV Consultants

  • Clinical Laboratory Director (Non-physician)
  • Conyers, GA
  • NPI 1932820719
  NPD Authorized official

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1689395618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 PEACHTREE RD NE STE 145-1207",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261085",
            "telephone_number": "833-448-4636",
            "fax_number": "833-448-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3343 PEACHTREE RD NE STE 145-1207",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261085",
            "telephone_number": "404-791-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "CASANDRA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DRPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NPI",
            "affiliation": "N",
            "endpointDescription": "Atlantahivconsultants",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3343 Peachtree Rd NE Ste 145-1207",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303261085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Negar Kianian, DMD
• Gregory Kibler, PA-C
• Lisa Kiblinger
• Lindsay Susanne Kibuyaga, MD
• Kidcare Pediatrics
• Charlene Byssainthe Kidd, LCSW
• Jordan Kidd, CPHT
• Shane Kidd
• Kidgroups, LLC
• Kidneyspa East Atlanta Dialysis, LLC

• Clinical Medical Laboratory in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.