SOUTHBRIDGE HOUSECALLS LLC
NPI 1922688530
Nurse Practitioner - Adult Health in Fairburn, GA

Active since April 09, 2021
7870 WATERLACE DR, FAIRBURN, GA 30213(404) 542-5017 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Southbridge Housecalls Llc NPPES

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

SOUTHBRIDGE HOUSECALLS LLC (NPI 1922688530) is a healthcare organization registered as an adult health in Fairburn, Georgia and active in the NPI registry since April 2021. The organization lists Allyson Blue, Nurse Practitioner/owner, as its authorized official.

NPPES Registry Identity

NPI1922688530
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameSOUTHBRIDGE HOUSECALLS LLC
Location Address7870 WATERLACE DRFairburn, GA 30213-4647
Mailing Address7870 Waterlace DrFairburn, GA 30213-4647 · (404) 542-5017
Organization SubpartNo
Authorized OfficialAllyson BlueNurse Practitioner/owner · (404) 542-5017
Enumeration DateApril 9, 2021
NPPES CertifiedApril 9, 2021
NPI 1922688530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
7870 WATERLACE DR, Fairburn, GA 30213

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

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Adult Health)
7870 WATERLACE DR
FAIRBURN, GA 30213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922688530, enumerated as an "organization" on April 09, 2021.

The provider is located at 7870 WATERLACE DR FAIRBURN, GA 30213 and the phone number is (404) 542-5017.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.