ATLANTA VAMC (NPI# 1174911200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174911200 |
| Entity Type | Organization |
| Organization Name | ATLANTA VAMC |
| Other Organization Name | EAST POINT 1 VA CLINIC |
| Practice Address |
1513 Cleveland Avenue Suite 300 East Point GA 30344-6951 |
| Mailing Address |
Po Box 89498 Cleveland OH 44101-6498 |
| Practice Telephone | 8282572333 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2018-04-11 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| EAST POINT 1 VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790333649 | Atlanta Vamc | Clinic/Center | 2309 Parklake Dr Ne, Atlanta, GA 30345-2914 | 2019-09-03 |
| 1962050286 | Atlanta Vamc | Clinic/Center | 934 E Church St, Jasper, GA 30143-1926 | 2019-08-29 |
| 1811545130 | Atlanta Vamc | Clinic/Center | 1800 Phoenix Blvd Ste 100, College Park, GA 30349-6055 | 2019-08-29 |
| 1811551633 | Atlanta Vamc | Clinic/Center | 2217 Roswell Rd Ste 114, Marietta, GA 30062-2957 | 2019-04-26 |
| 1871981084 | Atlanta Vamc | Clinic/Center | 755 Commerce Drive, Suite 700, Decatur, GA 30030-2621 | 2014-12-23 |
| 1669860888 | Atlanta Vamc | Clinic/Center | 2296 Henderson Mill Rd Ne Ste 402, Atlanta, GA 30345-2739 | 2014-12-23 |
| 1669729570 | Atlanta Vamc | Clinic/Center | 180 Martin Dr., Carrollton, GA 30117-2425 | 2012-08-09 |
| 1780814368 | Atlanta Vamc | Clinic/Center | 39-a Oak Hill Court, Newnan, GA 30265 | 2009-07-17 |
| 1336183979 | Atlanta Vamc | Clinic/Center | 333 Midway Rd Nw, Marietta, GA 30064-5630 | 2006-06-15 |
| 1407890007 | Atlanta Vamc | Clinic/Center | 4175 Tanners Creek Dr, Flowery Branch, GA 30542-2816 | 2006-06-15 |
| Street Address |
1513 CLEVELAND AVENUE SUITE 300 |
| City | EAST POINT |
| State | GA |
| Zip Code | 30344-6951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306468053 | Comfortlink Healthcare, LLC | Home Health | 2691 Harris Street, Eastpoint, GA 30344 | 2020-05-15 |
| 1881159028 | Brandon Norris Spires | Specialist/Technologist | 6000 S Terminal Pkwy, Atlanta, GA 30344 | 2019-02-01 |
| 1568983435 | Rhonda Charlette Bussey | Social Worker | 3173 Delowe Dr, East Point, GA 30344 | 2017-06-30 |
| 1801324603 | Megan Marie Timpone | Physician Assistant | 1135 Cleveland Ave Ste 513, Atlanta, GA 30344 | 2017-05-24 |
| 1861837577 | Propsych Behavioral Health Care Services LLC | Community/Behavioral Health | 1847 Washington Road, East Point, GA 30344 | 2013-05-08 |
| 1932459096 | Kimberly Ann Bogard | Counselor | 4373 Sun Valley Blvd Rm A, East Point, GA 30344 | 2012-09-17 |
| 1376815621 | Love Angels | Home Health | 307 Crest Ridge Dr., East Point, GA 30344 | 2012-02-02 |
| 1861701054 | John Allen Reed IIi | Physical Therapist | 1657 Dorsey Ave., East Point, GA 30344 | 2010-10-05 |
| 1437482783 | Winston Daniels | Home Health Aide | 5100 High Point Rd Ste.36, Union City, GA 30344 | 2009-09-17 |
| 1649405572 | Kenyotta Hannah | Counselor | 1514 Cleveland Avenue, East Point, GA 30344 | 2009-05-21 |
| Find all providers in zip 30344 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205224425 | Atlanta Vamc | Clinic/Center | 2675 N Martin St, Suite 700, East Point, GA 30344-6981 | 2014-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790333649 | Atlanta Vamc | Clinic/Center | 2309 Parklake Dr Ne, Atlanta, GA 30345-2914 | 2019-09-03 |
| 1962050286 | Atlanta Vamc | Clinic/Center | 934 E Church St, Jasper, GA 30143-1926 | 2019-08-29 |
| 1811545130 | Atlanta Vamc | Clinic/Center | 1800 Phoenix Blvd Ste 100, College Park, GA 30349-6055 | 2019-08-29 |
| 1811551633 | Atlanta Vamc | Clinic/Center | 2217 Roswell Rd Ste 114, Marietta, GA 30062-2957 | 2019-04-26 |
| 1982074720 | Montgomery Vamc | Clinic/Center | 6635 Bass Road, Bldg. 9214, Fort Benning, GA 31905-9998 | 2015-10-06 |
| 1871981084 | Atlanta Vamc | Clinic/Center | 755 Commerce Drive, Suite 700, Decatur, GA 30030-2621 | 2014-12-23 |
| 1669860888 | Atlanta Vamc | Clinic/Center | 2296 Henderson Mill Rd Ne Ste 402, Atlanta, GA 30345-2739 | 2014-12-23 |
| 1770836884 | Dublin Vamc | Clinic/Center | 1824 Ridge Avenue North, Tifton, GA 31794-9998 | 2012-10-26 |
| 1669729570 | Atlanta Vamc | Clinic/Center | 180 Martin Dr., Carrollton, GA 30117-2425 | 2012-08-09 |
| 1780814368 | Atlanta Vamc | Clinic/Center | 39-a Oak Hill Court, Newnan, GA 30265 | 2009-07-17 |
| Find all providers with the same taxonomy | ||||
| City | EAST POINT |
| Zip Code | 30344 |
Please comment or provide details below to improve the information on ATLANTA VAMC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.