Holistic Gynecology, Inc
NPI 1700971504ActiveOrganization· Specialist· Decatur, GA
Specialist in Decatur, Georgia, registered in NPPES in October 2006. The authorized official on file is Juaquita D. Callaway, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1700971504 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 4, 2006 |
| Last updated in NPPES | Apr 28, 2020 |
| Certified by provider | Apr 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 033289 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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