CHILDREN'S HEALTHCARE OF ATLANTA MARIETTA PRIMARY CARE – NPI #1235161464
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

CHILDREN'S HEALTHCARE OF ATLANTA MARIETTA PRIMARY CARE is an AHC clinic located in MARIETTA, GA. NPPES has assigned the NPI number 1235161464 to CHILDREN'S HEALTHCARE OF ATLANTA MARIETTA PRIMARY CARE on July 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHILDREN'S HEALTHCARE OF ATLANTA MARIETTA PRIMARY CARE below.

NPI Profile for
CHILDREN'S HEALTHCARE OF ATLANTA MARIETTA PRIMARY CARE

NPI Number
1235161464
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHILDREN'S HEALTHCARE OF ATLANTA MARIETTA PRIMARY CARE
Primary location
895 CANTON RD NE BLDG 100
MARIETTA, GA 30060-8935
Phone: (404) 785-8220 Fax: (404) 785-8257
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JANET JUNG
STAFF PEDIATRICAN
Phone: (404) 785-8200
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)		 GA 040933

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.