Clinica Agave Clinic
NPI 1407091705 · Family Nurse Practitioner · Forest Park, GA
Clinica Agave Clinic is a Family Nurse Practitioner organization in Forest Park, GA (NPI 1407091705).
Provider details
- NPI number
- 1407091705
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Judith Chabot, Provider(404) 447-3444
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-12-16
- Last updated
- 2008-12-16
Frequently asked questions
- What is Clinica Agave Clinic's NPI number?
- Clinica Agave Clinic's National Provider Identifier (NPI) is 1407091705, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clinica Agave Clinic?
- Clinica Agave Clinic is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Clinica Agave Clinic located?
- Clinica Agave Clinic's practice location on file with NPPES is 4434 Jonesboro Rd, Forest Park, GA 30297-4313.
- What is Clinica Agave Clinic's phone number?
- The practice phone number listed in the NPPES registry for Clinica Agave Clinic is (404) 447-3444.
- Who is the authorized official for Clinica Agave Clinic?
- The authorized official listed on Clinica Agave Clinic's NPPES record is Judith Chabot, Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clinica Agave Clinic's NPI active?
- Yes — Clinica Agave Clinic's NPI (1407091705) is active in the NPPES registry as of the last update on 2008-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.