Organization Active NPI

Community Holistic Advanced Practice Nurses (Chapn) LLC

  • Family Medicine Physician
  • Austell, GA
National Provider Identifier
1992253322
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMMUNITY HOLISTIC ADVANCED PRACTICE NURSES (CHAPN) LLC
Practice address
1707 N. Blairs Bridge Road
Austell, GA 30168-5537
Phone
(404) 793-3806
Fax
(770) 502-6492
NPI assigned
Sep 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Authorized official

Name
Natalie McCall-Gaston, FNP
Title
Ceo
Phone
(678) 641-4391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1707 N. Blairs Bridge Road
Austell, GA 30168-5537

Mailing address

1707 North Blairs Bridge Rd
Austell, GA 30168-4659
Phone (404) 793-3806

National Provider Directory

National Provider Directory

Locations

1707 Blairs Bridge Rd
Lithia Springs, GA 30122
Phone (404) 793-3806

1707 Blairs Bridge Rd
#R
Lithia Springs, GA 30122
Phone (404) 793-3806

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1992253322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 NORTH BLAIRS BRIDGE RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301684659",
            "telephone_number": "404-793-3806",
            "fax_number": "770-502-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 N. BLAIRS BRIDGE ROAD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301685537",
            "telephone_number": "404-793-3806",
            "fax_number": "770-502-6492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOLISTIC ADVANCED PRACTICE NURSES (CHAPN) LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "MCCALL-GASTON",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-641-4391",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.