Holistic Gynecology, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

033289 Issued in GA

Legal business name

HOLISTIC GYNECOLOGY, INC

Practice address

2785 Lawrenceville Hwy
Suite 107
Decatur, GA 30033-2515

Phone

(678) 205-0405

Fax

(678) 205-0416

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Juaquita D Callaway, MDNPI 1629075544

Title

Owner

Phone

(678) 205-0405

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Juaquita D Callaway, MD

  • Gynecology Physician
  • Decatur, GA
  • NPI 1629075544
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588032000000",
    "number": "1700971504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1681 FRAZIER PARK DR.",
            "address_2": "DECATUR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300330398",
            "telephone_number": "404-216-4581",
            "fax_number": "678-205-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 LAWRENCEVILLE HWY",
            "address_2": "SUITE 107",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300332515",
            "telephone_number": "678-205-0405",
            "fax_number": "678-205-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC GYNECOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A",
        "authorized_official_last_name": "CALLAWAY",
        "authorized_official_first_name": "JUAQUITA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-205-0405",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "033289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holcomb Helping Hands, LLC
• Angela Holder
• Angela J Holder
• Joseph Alexander Holder Jr., PA-C
• Holistic Angels Provider Services Company
• David A Holladay, MD
• Ned Wilson Holland, MD
• Shauna H. Holland, DDS
• Andrea J Holley, PA-C
• Edith Holley

• Specialist in Decatur, GA
• Providers in Decatur, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.