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● Active Type 2 · Organization

Providence Healthcare

Allergy & Immunology·Atlanta, GA· NPI 1699895961 · Enumerated 2007 · 19 years on NPI
Providence Healthcare is 1 of 4 allergy & immunology organizations in Georgia.
NPI age
19 years
Enumerated 2007-03-30
Primary specialty
Allergy & Immunology
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Leach
Office Manager
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05

How this organization compares

Across 4 active allergy & immunology providers in Georgia.

NPI age
19 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 25% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
4646 N Shallowford Rd
Atlanta, GA 303386304
📞 7706766000fax 7703929805
Mailing address
4646 N Shallowford Rd
Atlanta, GA 303386304
📞 7706766000fax 7703929805

Authorized official

Mary Leach
Office Manager
📞 7706766000

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

Allopathic & Osteopathic Physicians › Allergy & Immunology
  • Allergy & Immunology Primary
    An allergy and immunology physician who specializes in clinical and laboratory immunology disease management..
    taxonomy 207KI0005X
  • Acupuncturist
    An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or...
    FL license #000186 taxonomy 171100000X
  • Chiropractor
    A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal...
    GA license #CHIR005530 taxonomy 111N00000X

Identifiers

TypeValueNotes
01 (GA) 50014615 TAT
01 (GA) 826713 BLUECROSS BLUE SHIELD
01 (GA) D44849 UPIN

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related

Allergy & Immunology organizations in Georgia
→ Georgia hub
About this specialty
→ Specialty guide