Provider Type Icon

ETHNE HEALTH NPI 1538646054


NPI Information

NPI: 1538646054
Provider Name: ETHNE HEALTH
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D2157982

Address:
980 ROWLAND ST STE 4190
CLARKSTON, GA
ZIP 30021
Phone: (470) 799-0044
Get Directions

ETHNE HEALTH is a family medicine in Clarkston, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ETHNE HEALTH NPI is 1538646054. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

980 ROWLAND ST STE 4190
CLARKSTON, GA
ZIP 30021-203
Phone: (470) 799-0044
Fax: (470) 799-0045

The provider's authorized official is Daniel Flint Megill .
The authorized official title is Cfo and has the following contact phone number (470) 799-0044.

The CLIA number assigned to this NPI record is 11D2157982 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/26/2018 and was last updated on 3/1/2023.


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
1207R00000XInternal MedicineNo
2208000000XPediatricsNo
32084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
4207Q00000XFamily MedicineYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.