Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

CALVIN D KOTTKE
NPI 1104742758
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since June 27, 2026
1364 CLIFTON RD NE, ATLANTA, GA 30322(404) 712-2000 Get Directions Write a Review

NPPES record added: June 27, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Student in an Organized Health Care Educ...

About CALVIN KOTTKE

This page provides the complete NPI Profile along with additional information for Calvin Kottke, a primary care provider established in Atlanta, Georgia with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1104742758 assigned on June 2026. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated June 2026.

NPI
1104742758 Verify this NPI
Provider Name
CALVIN D KOTTKE
Gender
Male
Entity Type
Individual
Location Address
1364 CLIFTON RD NE ATLANTA, GA 30322
Location Phone
(404) 712-2000
Mailing Address
1615 DRUID OAKS NE ATLANTA, GA 30329
Mailing Phone
(770) 880-4867
Is Sole Proprietor?
No
Enumeration Date
06-27-2026
Last Update Date
06-27-2026
Code Navigator

A primary care provider (PCP) like Calvin Kottke sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
License State
GA
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
1364 CLIFTON RD NE, STE B3
ATLANTA, GA 30322
Surgery
1364 CLIFTON RD NE, SUITE A3300
ATLANTA, GA 30322
Nurse Practitioner (Family)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Pathology (Clinical Pathology/Laboratory Medicine)
1364 CLIFTON RD NE, ROOM F145
ATLANTA, GA 30322
Pathology (Anatomic Pathology)
1364 CLIFTON RD NE, RM. G144
ATLANTA, GA 30322
Pathology (Anatomic Pathology & Clinical Pathology)
1364 CLIFTON RD NE, ROOM H184
ATLANTA, GA 30322
Pathology (Anatomic Pathology & Clinical Pathology)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Pathology (Anatomic Pathology & Clinical Pathology)
1364 CLIFTON RD NE, ROOM H171
ATLANTA, GA 30322
Pathology (Clinical Pathology/Laboratory Medicine)
1364 CLIFTON RD NE, ROOM F147A
ATLANTA, GA 30322
Radiology (Neuroradiology)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Nurse Practitioner (Family)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Registered Nurse (Critical Care Medicine)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Anesthesiologist Assistant
1364 CLIFTON RD NE, 3B ANESTHESIOLOGY
ATLANTA, GA 30322
Radiology (Diagnostic Radiology)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Radiology (Neuroradiology)
1364 CLIFTON RD NE, ROOM B-115
ATLANTA, GA 30322
Anesthesiologist Assistant
1364 CLIFTON RD NE, 3B ANESTHESIOLOGY
ATLANTA, GA 30322
Anesthesiology
1364 CLIFTON RD NE
ATLANTA, GA 30322
Physician Assistant (Medical)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Anesthesiologist Assistant
1364 CLIFTON RD NE
ATLANTA, GA 30322
Radiology (Diagnostic Radiology)
1364 CLIFTON RD NE, DEPT OF RADIOLOGY, EUHOSPITAL, SUITE BG-48
ATLANTA, GA 30322

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104742758, enumerated as an "individual" on June 27, 2026.

The provider is located at 1364 CLIFTON RD NE ATLANTA, GA 30322 and the phone number is (404) 712-2000.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.