# ORIGIN HEALTHCARE LLC

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689266314
- **Authorized official:** SHIVAN AMIN MD (PRINCIPAL)
- **Authorized official phone:** (404) 228-9961

## Contact information

- **Practice address:** 1120 CURRAN ST NW, ATLANTA, GA 30318-5430
- **Practice address phone:** (267) 456-4313
- **Mailing address:** 1120 CURRAN ST NW STE 101, ATLANTA, GA 30318-5430
- **Mailing address phone:** (267) 456-4313

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/04/2021
- **Last updated:** 05/20/2026