DEAVMED L.L.C


Address: 3915 Cascade Rd Sw Ste T-90, Atlanta, GA 30331-8660
Phone: 7709255884

DEAVMED L.L.C (NPI# 1487297164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487297164
Entity Type Organization
Organization Name DEAVMED L.L.C
Other Organization Name VITALITY SPRINGS FAMILY PRACTICE
Practice Address 3915 Cascade Rd Sw Ste T-90
Atlanta
GA 30331-8660
Mailing Address 1481 Bourdon Bell Dr Se
Conyers
GA 30013-7459
Practice Telephone 7709255884
Practice Fax Number 8884407722
Mailing Telephone 7709255884
Enumeration Date 2019-10-24
Last Update Date 2019-12-19
Authorized Official Name DR. TODD DEAVENS (OWNER/MEMBER)
Authorized Official Telephone 7709255884
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Vitality Springs Family Practice Doing Business As Name - Organization

Office Location

Street Address 3915 CASCADE RD SW STE T-90
City ATLANTA
State GA
Zip Code 30331-8660

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1295375558 Drusilla Precious Cudjoe Behavior Technician 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 2020-01-14
1497262778 Champions Pharmacy Pharmacy 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 2018-01-08
1033629779 Carmen Ardoin Counselor 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 2017-10-09
1346759974 Neva R Allison Nurse Practitioner 2611 Dayview Ln, Atlanta, GA 30331 2017-09-26
1538678255 Natalie Mckay Technician/Technologist 3915 Cascade Rd, 220, Atlanta, GA 30331 2017-09-26
1700304268 Tyrone Pipkin Contractor 415 Kendrick Terrace Sw, Atlanta, GA 30331 2017-09-05
1073031688 Kristen Wooldridge Pharmacist 3695 Cascade Road, Atlanta, GA 30331 2017-09-04
1548704687 Advance Pain Management Health Maintenance Organization 2950 Stone Hogan Road Connector, Atlanta, GA 30331 2016-12-08
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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1194363382 Arcd and Weightloss Management Clinic/Center 265 18th St Nw Ste 2823, Atlanta, GA 30363-1125 2019-12-18
1134775208 Naesm Mens Health and Wellness Center Clinic/Center 2140 Martin Luther King Jr Dr Sw Ste 201, Atlanta, GA 30310 2019-08-14
1427532225 River Acupuncture Inc Clinic/Center 5441 Buford Hwy Ne Ste 203, Atlanta, GA 30340-1168 2018-09-18
1093208381 Tonova Audiometrics, LLC Clinic/Center 677b Alta Pl Nw, Atlanta, GA 30318-6364 2018-06-11
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1407361702 Buckhead Cosmetic and Family Dentistry LLC Clinic/Center 316 Pharr Rd Ne, Atlanta, GA 30305-2304 2017-12-08
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Competitor

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City ATLANTA
Zip Code 30331

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Dataset Information

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.

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