Vistas Medical Center,pc, NPI 1104064815
Medical Specialty Clinic/Center in Stone Mountain, GEORGIA, UM
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1104064815 |
| NPI Entity Type | Organization |
| Provider Name | Vistas Medical Center,pc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 5329 Memorial Dr Ste A, Stone Mountain, GEORGIA, UM |
| Provider Mailing Address | Po Box 870828, Stone Mountain, GA, US, 300870027 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MD Nicholas Kemdi Ihenacho |
| Official Position | MD/CEO |
| Phone | 404-296-7695 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Medical Specialty Clinic/Center |
| Classification | |
| Group | |
| License No. | GA038149 |
| License State | GA |
| Description | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 000727108D | GA | MEDICAID | 05 |
| 321313 | GA | WELLCARE | 01 |
Other Providers in GEORGIA, UM
| NPI | Name | Taxonomy | Address |
|---|---|---|---|
|
REGISTERED NURSE Felicia Yvette Choyce Individual |
175 Gwinnett Drive |
||
|
P.A. Joy Steinkraus Individual |
743 Spring Street Ne |
||
|
Shantreze Deshae Anderson Individual |
102 Main Street Suite 228 |
||
|
Vistas Medical Center,pc Organization |
5329 Memorial Dr Ste A |
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NPI (national provider identifier) is a medical breakthrough. In this article, you will get a closer look at this concept: history of NPI number, meaning of NPI number.
How to obtain, renew, or terminate an NPI
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