Healthcare Provider Details

I. General information

NPI: 1285576678
Provider Name (Legal Business Name): HABIBAH EMAD BIKHIT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

179 PINE GROVE RD STE B
CARTERSVILLE GA
30120-8490
US

IV. Provider business mailing address

179 PINE GROVE RD STE B
CARTERSVILLE GA
30120-8490
US

V. Phone/Fax

Practice location:
  • Phone: 770-387-4544
  • Fax:
Mailing address:
  • Phone: 770-387-4544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberPENDINGF06261095
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN306099
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: