KINDBODY OF GA MEDICAL PRACTICE, PC
NPI 1891390084
Obstetrics & Gynecology - Reproductive Endocrinology in Atlanta, GA
- Organization
- Obstetrics & Gynecology
- Reproductive Endocrinology
- CLIA Number: 11D2222359
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-22-2026
About KINDBODY OF GA MEDICAL PRACTICE, PC
This page provides the complete NPI Profile along with additional information for Kindbody Of Ga Medical Practice, Pc, a women's health care provider established in Atlanta, Georgia operating as a Obstetrics & Gynecology, focusing in reproductive endocrinology . The healthcare provider is registered in the NPI registry with number 1891390084 assigned on December 2020. The practitioner's primary taxonomy code is 207VE0102X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Kindbody Of Ga Medical Practice, Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Kindbody Of Ga Medical Practice, Pc. The authorized official of this NPI record is Dr. Fahimeh Sasan Do (Founding Obgyn)
- NPI
- 1891390084 Verify this NPI
- Provider Legal Name
- PEACH STATE MEDICAL PRACTICE, PC
- Other Organization Name
- KINDBODY OF GA MEDICAL PRACTICE, PC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3005 PEACHTREE RD NE ATLANTA, GA 30305
- Location Phone
- (855) 563-2639
- Mailing Address
- 333 S DESPLAINES ST STE 201 CHICAGO, IL 60661
- Mailing Phone
- (855) 563-2639
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-03-2020
- Last Update Date
- 05-20-2024
- Code Navigator
Women's health care providers like Kindbody Of Ga Medical Practice, Pc treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
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
Obstetrics & Gynecology Reproductive Endocrinology
- Taxonomy Code
- 207VE0102X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 11D2222359
- Facility Type
- Physician Office
- Certificate Effective Date
- November 23, 2024
- Certificate Expiration Date
- November 22, 2026
- Laboratory Director
- DR. ABEER SALHIA RAFATI
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Kindbody Of Ga Medical Practice, Pc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891390084, enumerated as an "organization" on December 03, 2020.
The provider is located at 3005 PEACHTREE RD NE ATLANTA, GA 30305 and the phone number is (855) 563-2639.
Obstetrics & Gynecology with taxonomy code 207VE0102X and a focus in Reproductive Endocrinology.
