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GRANT PARK CLINIC
NPI 1871669358
Clinic/Center - Primary Care in Atlanta, GA

Active since November 28, 2006CLIA 11D0259285 · Microscopy
1340 BOULEVARD SE, ATLANTA, GA 30315(404) 627-4259(404) 624-5795 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Grant Park Clinic NPPES

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

GRANT PARK CLINIC (NPI 1871669358) is a healthcare organization registered as a primary care in Atlanta, Georgia and active in the NPI registry since November 2006. The organization holds a CLIA Microscopy certificate valid through March 9, 2028 and lists Terry W. Wood, Director, as its authorized official.

NPPES Registry Identity

NPI1871669358
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGRANT PARK FAMILY HEALTH CENTER, INC.
Location Address1340 BOULEVARD SEAtlanta, GA 30315-3016
Mailing Address1340 Boulevard SeAtlanta, GA 30315-3016 · (404) 627-4259 · Fax (404) 624-5795
Phone(404) 627-4259
Fax(404) 624-5795
Organization SubpartNo
Authorized OfficialTerry W. WoodDirector · (404) 627-4259
Enumeration DateNovember 28, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1871669358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1340 BOULEVARD SE, Atlanta, GA 30315
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Other Names 1

Doing Business AsGrant Park Clinic

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) 11D0259285

Grant Park Family Health Center Inc · Atlanta, GA
Active · expires Mar 9, 2028
CLIA Number11D0259285
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 10, 2026
Certificate Expiration DateMarch 9, 2028
Laboratory DirectorClaudia Cano
Laboratory Phone(404) 627-4259
Laboratory LocationGrant Park Family Health Center Inc1340 Boulevard South East, Atlanta, GA 30315
CLIA data matches this NPI record on: Name Phone
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

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

TERRY W. WOOD M.D.
Internal Medicine
1340 BOULEVARD SE
ATLANTA, GA 30315
Fulton County (404) 627-4259

Frequently Asked Questions

What is GRANT PARK FAMILY HEALTH CENTER, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1871669358, enumerated as an "organization" on November 28, 2006.

Where is the provider located?

The provider is located at 1340 BOULEVARD SE ATLANTA, GA 30315 and the phone number is (404) 627-4259.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.