# COMMUNITY HEALTH CENTER, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Grassroots Medical, Grassroots Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598052706
- **Authorized official:** MR. DAVID G ATEN (CHAIRMEN OF THE BOARD)
- **Authorized official phone:** (678) 398-6548

## Contact information

- **Practice address:** 4485 N TOWN SQ, SUITE 108, POWDER SPRINGS, GA 30127-2242
- **Practice address phone:** (678) 398-6548
- **Mailing address:** PO BOX 340, POWDER SPRINGS, GA 30127-0340
- **Mailing address phone:** (678) 398-6548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 124Q00000X | Dental Hygienist | — | — | — |
| 126800000X | Dental Assistant | — | — | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 07/08/2011
- **Last updated:** 06/30/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003141372A | — | GA |