Organization Active NPI

Atlanta Primary Care House Calls for Senior Communities

  • Family Medicine Physician
  • Kennesaw, GA
National Provider Identifier
1851836100
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19964 Issued in GA
Legal business name
ATLANTA PRIMARY CARE HOUSE CALLS FOR SENIOR COMMUNITIES
Practice address
3567 Bozeman Lake Rd NW
Kennesaw, GA 30144-2010
Phone
(404) 414-3434
Fax
(678) 426-7190
NPI assigned
Dec 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Janice K Hogue-Kinahan, APRN-C
Title
Owner
Phone
(404) 414-3434

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X 19964 GA
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 19964 GA Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 035277 GA
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 19964 GA
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X 19964 GA
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

3567 Bozeman Lake Rd NW
Kennesaw, GA 30144-2010

Mailing address

3567 Bozeman Lake Rd NW
Kennesaw, GA 30144-2010
Phone (404) 414-3434

National Provider Directory

National Provider Directory

Locations

12775 Providence Rd
Alpharetta, GA 30009

135 Hillside Trce
Dallas, GA 30157
Phone (770) 635-1780

5413 Northland Dr
Sandy Springs, GA 30342

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1851836100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3567 BOZEMAN LAKE RD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442010",
            "telephone_number": "404-414-3434",
            "fax_number": "678-426-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3567 BOZEMAN LAKE RD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442010",
            "telephone_number": "404-414-3434",
            "fax_number": "678-426-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA PRIMARY CARE HOUSE CALLS FOR SENIOR COMMUNITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-22",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "HOGUE-KINAHAN",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-414-3434",
        "authorized_official_credential": "APRN-C"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "19964",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "19964",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "035277",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "19964",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "GA",
            "license": "19964",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.