DR. KRISTA JO CHILDRESS MD NPI 1932495728

NPI Information

NPI: 1932495728
Provider Name: DR. KRISTA JO CHILDRESS, MD
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

PECOS Registration: Yes

Address:
1405 CLIFTON RD.
ATLANTA, GA
ZIP 30322
Phone: (404) 785-8787
Get Directions

DR. Krista Jo Childress, MD is a gynecology obstetrics gynecology in Atlanta, GA. DR. Krista Jo Childress, MD NPI is 1932495728. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1405 CLIFTON RD.
ATLANTA, GA
ZIP 30322
Phone: (404) 785-8787
Fax: (404) 785-8788

The NPI 1932495728 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/21/2011 and was last updated on 3/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		125059449	ILLINOIS	No
2	207VX0000X	Obstetrics & Gynecology	Obstetrics	078271	GEORGIA	No
3	207VG0400X	Obstetrics & Gynecology	Gynecology	078271	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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