OrganizationActive
Holistic Gynecology, Inc
NPI 1700971504 · Specialist · Decatur, GA
Provider details
- NPI number
- 1700971504
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Juaquita Callaway, Owner(678) 205-0405
- License
- 033289 (GA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2785 Lawrenceville Hwy
Suite 107
Decatur, GA 30033-2515
Phone: (678) 205-0405
Fax: (678) 205-0416
Street-level locationGet directions
Mailing address
1681 Frazier Park Dr.
Decatur, GA 30033-0398
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2020-04-28
- Certified
- 2020-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.