Organization Active NPI

Atlas Initiative

  • Health Service Clinic/Center
  • Woodstock, GA
National Provider Identifier
1922823863
Registry record updated Nov 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
ATLAS INITIATIVE
Practice address
2453 Towne Lake Pkwy Ste a
Woodstock, GA 30189-5525
Phone
(770) 592-2505
NPI assigned
Nov 16, 2024
Last updated
Nov 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2024

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

Authorized official

Name
Dr. Kelly Peterson, DCNPI 1982302006
Title
Owner/Lead Doctor
Phone
(770) 592-2505

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

2453 Towne Lake Pkwy Ste a
Woodstock, GA 30189-5525

Mailing address

2307 Stanton Place LN
Acworth, GA 30101-8894
Phone (402) 450-8664

National Provider Directory

National Provider Directory

Locations

2453 Towne Lake Pkwy
Ste A
Woodstock, GA 30189
Phone (770) 592-2505

Practitioners & affiliated clinicians

Practitioners 1

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": "1731715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731715200000",
    "number": "1922823863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 STANTON PLACE LN",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018894",
            "telephone_number": "402-450-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2453 TOWNE LAKE PKWY STE A",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895525",
            "telephone_number": "770-592-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS INITIATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-16",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/LEAD DOCTOR",
        "authorized_official_telephone_number": "770-592-2505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.