GEORGIA VOLUNTEER HEALTH CARE PROGRAM
NPI 1710437579
Clinic/Center in Douglasville, GA

Active since October 05, 2016
6744 BROOKFIELD WAY, DOUGLASVILLE, GA 30134(770) 837-5656 Get Directions Write a Review

NPPES record last updated: October 5, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Georgia Volunteer Health Care Program NPPES

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

GEORGIA VOLUNTEER HEALTH CARE PROGRAM (NPI 1710437579) is a healthcare organization registered as a clinic/center in Douglasville, Georgia and active in the NPI registry since October 2016. The organization lists Princess B. Clark, Fnp, as its authorized official.

NPPES Registry Identity

NPI1710437579
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGEORGIA VOLUNTEER HEALTH CARE PROGRAM
Location Address6744 BROOKFIELD WAYDouglasville, GA 30134-1461
Mailing Address6744 Brookfield WayDouglasville, GA 30134-1461
Organization SubpartNo
Authorized OfficialPrincess B. ClarkFnp · (770) 837-5656
Enumeration DateOctober 5, 2016
NPI 1710437579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in GA · RN128145
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
6744 BROOKFIELD WAY, Douglasville, GA 30134

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 Georgia Volunteer Health Care Program's NPI number?

The NPI number for Georgia Volunteer Health Care Program is 1710437579. It was assigned to this organization in the NPPES registry on October 5, 2016.

Where is Georgia Volunteer Health Care Program located?

Georgia Volunteer Health Care Program is located at 6744 Brookfield Way, Douglasville, GA 30134. The listed phone number is (770) 837-5656.

What is Georgia Volunteer Health Care Program's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Georgia Volunteer Health Care Program was last updated on October 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.