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Casandra M Kidd , DRPH

Physician β€’ Atlanta, GA

Active NPI 1689395618 Individual Practitioner Female Practitioner
Practice location in NPPES

3343 Peachtree Rd Ne Ste 145-1207
Atlanta, GA 303261085

Call 4047917201 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3343 Peachtree Rd Ne Ste 145-1207

Atlanta, GA 303261085

Telephone 4047917201

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-10-02
Clinical Medical Laboratory Primary Specialty

NUCC Taxonomy Code: 291U00000X

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2024

Clinical Medical Laboratory

βœ…
NPI Profile Active September 07, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 07, 2022

Registered at 3343 PEACHTREE RD NE STE 145-1207, ATLANTA, GA 303261085 (Tel: 4047917201)

πŸ“
Business Mailing Address (Initial Record) September 07, 2022

Registered at 3343 PEACHTREE RD NE STE 145-1207, ATLANTA, GA 303261085 (Tel: 4047917201)

πŸ‘€
Provider Name / Credentials (Initial Record) September 07, 2022

Recorded as CASANDRA KIDD, DRPH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2022

Clinic/Center

🟒
Initial NPI Registration & Enumeration September 07, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1689395618
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2022
Last Update: October 02, 2024
Sole Proprietor: Yes

Mailing Address

3343 Peachtree Rd Ne Ste 145-1207

Atlanta, GA 303261085

Phone: 8334484636

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.