ATLANTA VAMC (NPI# 1780631689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780631689 |
| Entity Type | Organization |
| Organization Name | ATLANTA VAMC |
| Other Organization Name | LAWRENCEVILLE VA CLINIC |
| Practice Address |
455 Philip Blvd Ste 200 Lawrenceville GA 30046-8766 |
| Mailing Address |
Po Box 89498 Cleveland OH 44101-6498 |
| Practice Telephone | 8282572333 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-07-13 |
| 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 |
|---|---|
| LAWRENCEVILLE 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 |
| 1174911200 | Atlanta Vamc | Clinic/Center | 1513 Cleveland Avenue, Suite 300, East Point, GA 30344-6951 | 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 |
| Street Address |
455 PHILIP BLVD STE 200 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-8766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932612538 | Madeleine O. Kennedy | Nurse Practitioner | 455 Philip Blvd Ste 200, Lawrenceville, GA 30046-8766 | 2017-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528456654 | Atlanta Vamc | Clinic/Center | 1970 Riverside Pkwy, Lawrenceville, GA 30043-5937 | 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 |
| 1174911200 | Atlanta Vamc | Clinic/Center | 1513 Cleveland Avenue, Suite 300, East Point, GA 30344-6951 | 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 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
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.