ORIGIN HEALTHCARE LLC
NPI 1689266314
Clinic/Center - Multi-Specialty in Atlanta, GA
About Origin Healthcare Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ORIGIN HEALTHCARE LLC (NPI 1689266314) is a healthcare organization registered as a multi-specialty in Atlanta, Georgia and active in the NPI registry since February 2021. The organization lists Shivan Amin, Principal, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Origin Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Origin Healthcare LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Origin Healthcare LLC's NPI number?
The NPI number for Origin Healthcare LLC is 1689266314. It was assigned to this organization in the NPPES registry on February 4, 2021.
Where is Origin Healthcare LLC located?
Origin Healthcare LLC is located at 1120 Curran St NW, Atlanta, GA 30318. The listed phone number is (267) 456-4313.
What is Origin Healthcare LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Origin Healthcare LLC enrolled in Medicare?
Yes. Origin Healthcare LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Origin Healthcare LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to Origin Healthcare LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Origin Healthcare LLC was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Origin Healthcare Llc · NPI 1689266314
Multi-Specialty organization in Atlanta, Georgia. Organization record, active in the CMS NPPES registry since February 4, 2021.
## Identity
- **NPI:** 1689266314 (Entity type: Organization)
- **Enumerated:** February 4, 2021
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Shivan Amin, PRINCIPAL
## Practice location
- **Address:** 1120 CURRAN ST NW, Atlanta, GA 30318-5430
- **Phone:** (267) 456-4313
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Otolaryngology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1689266314) · Data from the CMS NPPES public registry.