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BREASTFEED ATLANTA, LLC
NPI 1558722215
Clinic/Center - Multi-Specialty in Atlanta, GA

Active since March 09, 2016CLIA 11D2197671 · Waiver
5885 GLENRIDGE DR STE 200, ATLANTA, GA 30328(404) 454-9715(404) 393-3739 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 6, 2024, Feb 27, 2019 (2 updates tracked since 2019).

About Breastfeed Atlanta, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREASTFEED ATLANTA, LLC (NPI 1558722215) is a healthcare organization registered as a multi-specialty in Atlanta, Georgia and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through October 26, 2026, maintains 3 additional practice locations, and lists Christie Ward Coursey, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1558722215
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBREASTFEED ATLANTA, LLC
Location Address5885 GLENRIDGE DR STE 200Atlanta, GA 30328-5573
Mailing Address5885 Glenridge Dr Ste 200Atlanta, GA 30328-5573 · (404) 454-9715 · Fax (404) 393-3739
Phone(404) 454-9715
Fax(404) 393-3739
Organization SubpartNo
Authorized OfficialChristie Ward CourseyExecutive Director · (404) 454-9715
Enumeration DateMarch 9, 2016
Last NPPES UpdateNovember 6, 20242 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
✔ NPI 1558722215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedRegistered Nurse · Lactation ConsultantTaxonomy 163WL0100X
Also ListedLactation Consultant, Non-RNTaxonomy 174N00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
5885 GLENRIDGE DR STE 200, Atlanta, GA 30328
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11 Baltimore Pl NW Ste 160Atlanta, GA 30308 · Phone (404) 454-9715
Location 2850 Kennesaw Ave NW Ste 1Marietta, GA 30060-1095 · Phone (404) 454-9715 · Fax (404) 393-3739
Location 31300 Upper Hembree Rd Ste DRoswell, GA 30076-0927 · Phone (404) 454-9715 · Fax (404) 393-3739

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2197671

Breastfeed Atlanta, LLC · Atlanta, GA
Active · expires Oct 26, 2026
CLIA Number11D2197671
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2024
Certificate Expiration DateOctober 26, 2026
Laboratory DirectorMaureen E. Starnes
Laboratory Phone(404) 454-7152
Laboratory LocationBreastfeed Atlanta, LLC1 Baltimore Place Suite 160, Atlanta, GA 30308
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLIE FUDGE
Registered Nurse (Lactation Consultant)
5885 GLENRIDGE DR STE 200
SANDY SPRINGS, GA 30328
Fulton County (404) 454-9715
MRS. STEPHANIE MONICA VANDELLEN
Nurse Practitioner (Family)
5885 GLENRIDGE DR STE 200
ATLANTA, GA 30328
Fulton County (404) 454-9715

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breastfeed Atlanta, LLC's NPI number?

The NPI number for Breastfeed Atlanta, LLC is 1558722215. It was assigned to this organization in the NPPES registry on March 9, 2016.

Where is Breastfeed Atlanta, LLC located?

Breastfeed Atlanta, LLC is located at 5885 Glenridge Dr Ste 200, Atlanta, GA 30328. The listed phone number is (404) 454-9715.

What is Breastfeed Atlanta, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Breastfeed Atlanta, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2197671) is associated with this NPI, valid through October 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Breastfeed Atlanta, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Breastfeed Atlanta, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Breastfeed Atlanta, LLC was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.