MR. ROBERT VARDAMAN II (NPI# 1467876193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467876193 |
| Entity Type | Individual |
| Full Name | MR. ROBERT VARDAMAN II |
| Credential | AGACNP-BC |
| Practice Address |
2001 Peachtree Rd Ne Ste 575 Atlanta GA 30309-1476 |
| Mailing Address |
Po Box 102321 Atlanta GA 30368-2321 |
| Practice Telephone | 4043500106 |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2020-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN214917 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1436 Westchester Rdg Ne, Atlanta, GA 303292484 | 8504507705 |
| Street Address |
2001 PEACHTREE RD NE STE 575 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30309-1476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376275 | Atlanta Brain and Spine Care, P.C. | Neurological Surgery | 2001 Peachtree Rd Ne Ste 575, Atlanta, GA 30309-1476 | 2005-06-20 |
| 1992310718 | Kathleen Alexis Pulliam | Nurse Practitioner | 2001 Peachtree Rd Ne Ste 575, Atlanta, GA 30309-1476 | 2020-09-09 |
| 1073174579 | Kelley Pruitt | Nurse Practitioner | 2001 Peachtree Rd Ne Ste 575, Atlanta, GA 30309-1476 | 2019-06-25 |
| 1487119004 | Hee Kang | Physician Assistant | 2001 Peachtree Rd Ne Ste 575, Atlanta, GA 30309-1476 | 2019-02-07 |
| 1417297219 | Morgan H Ragland | Nurse Practitioner | 2001 Peachtree Rd Ne Ste 575, Atlanta, GA 30309-1476 | 2013-02-15 |
| 1700149184 | Joshua Thomas Wewel | Neurological Surgery | 2001 Peachtree Rd Ne Ste 575, Atlanta, GA 30309-1476 | 2012-06-20 |
| 1063701613 | Jessica S Lee | Nurse Practitioner | 2001 Peachtree Rd Ne Ste 575, Atlanta, GA 30309-1476 | 2011-04-05 |
| 1144469552 | Richard Wayne Benefield | Physician Assistant | 2001 Peachtree Rd Ne Ste 575, Atlanta, GA 30309-1476 | 2009-02-09 |
| 1427111681 | Michael Fred Stiefel | Neurological Surgery | 2001 Peachtree Rd Ne Ste 575, Atlanta, GA 30309-1476 | 2006-12-19 |
| 1740356161 | Patrice Rebecca Braun | Physician Assistant | 2001 Peachtree Rd Ne Ste 575, Atlanta, GA 30309-1476 | 2006-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
| 1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
| 1841782620 | Janie Mardis | Social Worker | 3 Park Ln Ne, Apt H, Atlanta, GA 30309 | 2018-06-06 |
| 1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
| 1427566363 | Net Medical Corp | Chiropractor | 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 | 2018-01-12 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1306377817 | Aliyah Lamis Scott | Social Worker | 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 | 2017-03-26 |
| 1013450774 | Caroline Hallen | Nurse Practitioner | 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 | 2016-11-29 |
| 1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
| 1790231439 | Nurse 2 Health Home Care LLC | Home Health | 1075 Peachtree Street Ne, Atlanta, GA 30309 | 2016-09-01 |
| Find all providers in zip 30309 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636941 | Pamela Patrice Ward | Nurse Practitioner | 789 Hammond Dr Apt 1706, Atlanta, GA 30328-8156 | 2020-07-07 |
| 1124640586 | Lana Wassim Hojeij | Nurse Practitioner | 67 28th St Nw, Atlanta, GA 30309-1842 | 2020-05-08 |
| 1346874021 | Monique Sims Breland | Nurse Practitioner | 993d Johnson Fy Rd Ne Ste 130, Atlanta, GA 30342-1602 | 2020-03-03 |
| 1245860634 | Christy Michelle Apple | Nurse Practitioner | 1900 Chancery Ln, Atlanta, GA 30341-1010 | 2020-01-24 |
| 1366008237 | Melissa Lee Hallman | Nurse Practitioner | 1421 Peachtree St Ne Ste A, Atlanta, GA 30309-3040 | 2019-05-15 |
| 1972075497 | Laura Mcrae | Nurse Practitioner | Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-21 |
| 1265902134 | Kyle Brooks Kraft | Nurse Practitioner | 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-04 |
| 1770098717 | Tracy Michelle Shelton | Nurse Practitioner | 550 Peachtree St Ne Bldg 3245-a, Atlanta, GA 30308-2247 | 2017-12-13 |
| 1013457845 | Phung Ngoc Lu | Nurse Practitioner | 550 Peachtree Street -, Davis Fischer Building Office 3245a, Atlanta, GA 30308 | 2017-02-27 |
| 1386197457 | Elizabeth Carrington Mitchell | Nurse Practitioner | 373 Brooks Ave Ne, Atlanta, GA 30307-2141 | 2016-07-25 |
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| 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.