MEDICARE: DR. CHRISTINE G. CASEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	A61480	CA
2	208000000X	Pediatrics Physician	A61480	CA

General Provider Information

NPI Number	:	1376696856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE G. CASEY M.D.

Provider Business Mailing Address
First Line	:	1600 CLIFTON RD, NE MAILSTOP D-72
Second Line	:	CENTERS FOR DISEASE CONTROL AND PREVENTION
City	:	ATLANTA
State	:	GA
Zip	:	30333
Country	:	US
Telephone Number	:	404-639-2973
Fax Number	:	404-639-4903

Provider Business Practice Location Address
First Line	:	1701 HARDEE AVE SE
Second Line	:	LAWRENCE JOEL HEALTH CLINI
City	:	FT MCPHERSON
State	:	GA
Zip	:	30330
Country	:	US
Telephone Number	:	404-464-0414
Fax Number	:	404-464-0415

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	09/11/2025

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