BREASTFEED ATLANTA LLC NPI 1558722215

NPI Information

  • NPI: 1558722215
  • Provider Name: BREASTFEED ATLANTA, LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • CLIA Number: 11D2197671
  • Address: 5885 GLENRIDGE DR STE 200
    ATLANTA, GA
    ZIP 30328
  • Phone: (404) 454-9715

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NPI Details

BREASTFEED ATLANTA, LLC is a multi-specialty clinic center in Atlanta, GA. BREASTFEED ATLANTA, LLC NPI is 1558722215. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5885 GLENRIDGE DR STE 200
ATLANTA, GA
ZIP 30328-573
Phone: (404) 454-9715
Fax: (404) 393-3739

The provider's authorized official is Christie Ward Coursey .
The authorized official title is Executive Director and has the following contact phone number (404) 454-9715.

The CLIA number assigned to this NPI record is 11D2197671 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2016 and was last updated on 11/6/2024.

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
1163WL0100XRegistered NurseLactation ConsultantNo
2174N00000XLactation Consultant, Non-RNNo
3261QM1300XClinic/CenterMulti-SpecialtyYes
4332B00000XDurable Medical Equipment & Medical SuppliesNo

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: 11/21/2025

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