Atlanta HIV Consultants

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

Legal business name

ATLANTA HIV CONSULTANTS

Practice address

1000 Iris Dr SW Ste E9
Conyers, GA 30094-6632

Phone

(833) 448-4636

Fax

(833) 448-4636

NPI assigned

Sep 8, 2022

Organization subpart

No

Name

Dr. Casandra M. Kidd, DRPHNPI 1689395618

Title

Cfo

Phone

(404) 791-7201

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

• Casandra M Kidd, DRPH

  • Clinical Medical Laboratory
  • Atlanta, GA
  • NPI 1689395618
  NPD Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 2, 2024.

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1932820719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 IRIS DR SW STE E9",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946632",
            "telephone_number": "833-448-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 IRIS DR SW STE E9",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946632",
            "telephone_number": "833-448-4636",
            "fax_number": "833-448-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA HIV CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "CASANDRA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "404-791-7201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DRPH"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Conyers, GA
• Clinical Laboratory Director (Non-physician) 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.