HOLISTIC GYNECOLOGY, INC
NPI 1700971504
Specialist in Decatur, GA

Active since October 04, 2006CLIA 11D0960688 · Microscopy
2785 LAWRENCEVILLE HWY, SUITE 107, DECATUR, GA 30033(678) 205-0405(678) 205-0416 Get Directions Write a Review

NPPES record last updated: April 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holistic Gynecology, Inc NPPES

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

HOLISTIC GYNECOLOGY, INC (NPI 1700971504) is a healthcare organization registered as a specialist in Decatur, Georgia and active in the NPI registry since October 2006. The organization holds a CLIA Microscopy certificate valid through May 23, 2027 and lists Juaquita D Callaway, Owner, as its authorized official.

NPPES Registry Identity

NPI1700971504
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameHOLISTIC GYNECOLOGY, INC
Location Address2785 LAWRENCEVILLE HWY, SUITE 107Decatur, GA 30033-2515
Mailing Address1681 Frazier Park Dr., DecaturDecatur, GA 30033-0398 · (404) 216-4581 · Fax (678) 205-0416
Fax(678) 205-0416
Organization SubpartNo
Authorized OfficialJuaquita D CallawayOwner · (678) 205-0405
Enumeration DateOctober 4, 2006
Last NPPES UpdateApril 28, 2020
NPPES CertifiedApril 28, 2020
NPI 1700971504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in GA · 033289
Definition
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.
2785 LAWRENCEVILLE HWY, Decatur, GA 30033

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 for Provider-Performed Microscopy Procedures (PPMP) 11D0960688

Holistic Gynecology · Decatur, GA
Active · expires May 23, 2027
CLIA Number11D0960688
Laboratory TypePhysician Office
Certificate Effective DateMay 24, 2025
Certificate Expiration DateMay 23, 2027
Laboratory DirectorJuaqita D. Callaway MD
Laboratory Phone(770) 717-7674
Laboratory LocationHolistic Gynecology2785 Lawrenceville Highway Suite 107, Decatur, GA 30033
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner (Pediatrics)
2785 LAWRENCEVILLE HWY
DECATUR, GA 30033
Neurological Surgery
2785 LAWRENCEVILLE HWY, SUITE 100
DECATUR, GA 30033
Psychologist (Clinical)
2785 LAWRENCEVILLE HWY, SUITE 108
DECATUR, GA 30033
Psychologist (Clinical)
2785 LAWRENCEVILLE HWY, SUITE 108
DECATUR, GA 30033
Pediatrics
2785 LAWRENCEVILLE HWY, SUITE 207
DECATUR, GA 30033
Community/Behavioral Health
2785 LAWRENCEVILLE HWY, SUITE 202
DECATUR, GA 30033
Physician Assistant (Surgical)
2785 LAWRENCEVILLE HWY, SUITE100
DECATUR, GA 30033
Nurse Practitioner (Obstetrics & Gynecology)
2785 LAWRENCEVILLE HWY
DECATUR, GA 30033

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 Holistic Gynecology, Inc's NPI number?

The NPI number for Holistic Gynecology, Inc is 1700971504. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Holistic Gynecology, Inc located?

Holistic Gynecology, Inc is located at 2785 Lawrenceville Hwy Suite 107, Decatur, GA 30033. The listed phone number is (678) 205-0405.

What is Holistic Gynecology, Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Holistic Gynecology, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0960688) is associated with this NPI, valid through May 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Holistic Gynecology, Inc was last updated on April 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.