PROVIDENCE HEALTHCARE
PROVIDENCE HEALTHCARE is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1699895961, based in Atlanta, GA. The organization lists 3 taxonomy classifications, with Clinical & Laboratory Immunology (Allergy & Immunology) Physician recorded as primary.
Getting there
The practice address on file is 4646 N SHALLOWFORD RD, Atlanta, GA 30338. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| CHIR005530 | GA | Chiropractor |
| 000186 | FL | Acupuncturist |
Licences are recorded in 2 states: GA, FL. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
Licensed in 2 states
This provider holds licences in 2 states: Florida and Georgia. The practice address on file is in Atlanta, GA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Clinical & Laboratory Immunology covers
An allergy and immunology physician who specializes in clinical and laboratory immunology disease management.. NUCC Health Care Provider Taxonomy, code 207KI0005X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207KI0005X | Clinical & Laboratory Immunology (Allergy & Immunology) Physician Clinical & Laboratory Immunology | — | GA | primary |
| 111N00000X | Chiropractor | CHIR005530 | GA | |
| 171100000X | Acupuncturist | 000186 | FL |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1699895961 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Mar 30, 2007 |
| Last updated | Jul 21, 2022 |
| Status | Active |
| Practice address |
4646 N SHALLOWFORD RD Atlanta, GA 30338 (770) 676-6000 Fax (770) 392-9805 |
| Other identifiers |
50014615
· Other (GA) 826713 · Other (GA) D44849 · Other (GA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 9 | 9 | 8 | 9 | 5 | 9 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 9 | 9 | 7 | 9 | 1 | 9 | 3 |
Sum = 79 · next multiple of 10 = 80 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.