Active NPI
Tracie R Valera, CEO
- Contractor
- Suwanee, GA
National Provider Identifier
1023620093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 2979 Savannah Walk LN
Suwanee, GA 30024-3658 - Phone
- (678) 662-5464
- NPI assigned
- Aug 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
2979 Savannah Walk LN
Suwanee, GA 30024-3658
Mailing address
2090 Lawrenceville Suwannee Rd a
#202
Suwanee, GA 30024
Phone (678) 662-5464
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | navihealth.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1023620093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2090 LAWRENCEVILLE SUWANNEE RD A",
"address_2": "#202",
"city": "SUWANEE",
"state": "GA",
"postal_code": "30024",
"telephone_number": "678-662-5464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2979 SAVANNAH WALK LN",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300243658",
"telephone_number": "678-662-5464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALERA",
"first_name": "TRACIE",
"middle_name": "R",
"credential": "CEO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-20",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "navihealth.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2979 Savannah Walk Ln",
"city": "Suwanee",
"state": "GA",
"country_code": "US",
"postal_code": "300243658",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.