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

Last updated

Oct 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Casandra M. Kidd, DRPHNPI 1689395618

Title

Cfo

Phone

(404) 791-7201

Specialties & licenses 1

Addresses

Locations

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.

• Casandra M Kidd, DRPH

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

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

{
    "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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• Clinical Laboratory Director (Non-physician) in Conyers, GA
• Providers in Conyers, GA by specialty
• 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.