1. Home
  2. Directory
  3. Georgia
  4. Decatur
  5. Specialist
  6. NPI Profile

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: October 18, 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
Phone(678) 205-0405
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
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holistic Gynecology, Inc 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 Holistic Gynecology, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Juaquita Callaway, MD
Obstetrics/Gynecology
NPI 1629075544
2785 LAWRENCEVILLE HWY STE 107
Decatur, GA 30033
(678) 205-0405
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Holistic Gynecology, Inc enrolled in Medicare?

Yes. Holistic Gynecology, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Holistic Gynecology, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Holistic Gynecology, Inc. 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.

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.