Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Providence Healthcare

Q: What type of organization is Providence Healthcare?

Providence Healthcare is registered in NPPES as a Clinical & Laboratory Immunology (Allergy & Immunology) Physician (its primary provider taxonomy).

Clinical & Laboratory Immunology (Allergy & Immunology) Physician in Atlanta, GA · enumerated 2007 · authorized official Mary Leach, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1699895961

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Registry record

Entity type Organization (Type 2)

Legal business name Providence Healthcare

Practice address 4646 N Shallowford Rd, Atlanta, GA, 30338

Phone (770) 676-6000

Fax (770) 392-9805

Enumeration date Mar 30, 2007

Last updated in NPPES Jul 21, 2022

Taxonomy & classification

111N00000X Chiropractor Chiropractic Providers · License CHIR005530 (GA) Secondary

171100000X Acupuncturist Other Service Providers · License 000186 (FL) Secondary

207KI0005X Clinical & Laboratory Immunology (Allergy & Immunology) Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Mary Leach

Title Office Manager

Phone (770) 676-6000

Other identifiers

Identifier	Type	State	Issuer
50014615	Other	GA	TAT
826713	Other	GA	BLUECROSS BLUE SHIELD
D44849	Other	GA	UPIN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Providence Healthcare?

Providence Healthcare is registered in NPPES as a Clinical & Laboratory Immunology (Allergy & Immunology) Physician (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.