HOLISTIC GYNECOLOGY, INC
NPI 1700971504
Specialist in Decatur, GA

NPI Status: Active since October 04, 2006

Contact Information

2785 LAWRENCEVILLE HWY
SUITE 107
DECATUR, GA
ZIP 30033
Phone: (678) 205-0405
Fax: (678) 205-0416

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  • Organization
  • Specialist
  • CLIA Number: 11D0960688
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-23-2027

About HOLISTIC GYNECOLOGY, INC

This page provides the complete NPI Profile along with additional information for Holistic Gynecology, Inc, a provider established in Decatur, Georgia operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1700971504 assigned on October 2006. The practitioner's primary taxonomy code is 174400000X with license number 033289 (GA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Juaquita D Callaway Md (Owner)

NPI
1700971504
Provider Name
HOLISTIC GYNECOLOGY, INC
Entity Type
Organization
Location Address
2785 LAWRENCEVILLE HWY SUITE 107 DECATUR, GA 30033
Location Phone
(678) 205-0405
Location Fax
(678) 205-0416
Mailing Address
1681 FRAZIER PARK DR. DECATUR DECATUR, GA 30033
Mailing Phone
(404) 216-4581
Mailing Fax
(678) 205-0416
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-04-2006
Last Update Date
04-28-2020
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
033289
License State
GA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JUAQUITA D CALLAWAY MD

Authorized Official Title
OWNER
Authorized Official Phone
(678) 205-0405

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D0960688
Facility Type
Physician Office
Certificate Effective Date
May 24, 2025
Certificate Expiration Date
May 23, 2027
Laboratory Director
JUAQITA D. CALLAWAY MD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Holistic Gynecology, Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1700971504, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
0
Doubled → 0
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 0 + 0 + 1 + 8 + 7 + 2 + 5 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1700971504.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Pediatrics (Adolescent Medicine)
2785 LAWRENCEVILLE HWY, STE 207
DECATUR, GA 30033
Physician Assistant (Surgical)
2785 LAWRENCEVILLE HWY, SUITE100
DECATUR, GA 30033
Psychologist (Clinical)
2785 LAWRENCEVILLE HWY, SUITE 108
DECATUR, GA 30033
Neurological Surgery
2785 LAWRENCEVILLE HWY, SUITE 100
DECATUR, GA 30033
Psychologist (Clinical)
2785 LAWRENCEVILLE HWY, SUITE 108
DECATUR, GA 30033
Dentist (General Practice)
2785 LAWRENCEVILLE HWY, STE 103
DECATUR, GA 30033
Pediatrics
2785 LAWRENCEVILLE HWY, SUITE 207
DECATUR, GA 30033
Psychologist (Counseling)
2785 LAWRENCEVILLE HWY, SUITE 108
DECATUR, GA 30033
Psychiatry & Neurology (Neurology)
2785 LAWRENCEVILLE HWY, STE 106
DECATUR, GA 30033
Obstetrics & Gynecology (Gynecology)
2785 LAWRENCEVILLE HWY, STE 107
DECATUR, GA 30033
Nurse Practitioner (Obstetrics & Gynecology)
2785 LAWRENCEVILLE HWY
DECATUR, GA 30033
Community/Behavioral Health
2785 LAWRENCEVILLE HWY, SUITE 202
DECATUR, GA 30033
Dentist (General Practice)
2785 LAWRENCEVILLE HWY, SUITE 103
DECATUR, GA 30033
Nurse Practitioner (Pediatrics)
2785 LAWRENCEVILLE HWY
DECATUR, GA 30033

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700971504, enumerated as an "organization" on October 04, 2006.

The provider is located at 2785 LAWRENCEVILLE HWY SUITE 107 DECATUR, GA 30033 and the phone number is (678) 205-0405.

Specialist with taxonomy code 174400000X.