Individual provider Active NPI

Vandene Tamoy Miller-Adams, M.D.

  • Obstetrics & Gynecology Physician
  • Lawrenceville, GA
National Provider Identifier
1033567219
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
85957 Issued in GA
Practice address
1942 Atkinson Rd Ste 100
Lawrenceville, GA 30043-5004
Phone
(678) 775-0600
Fax
(678) 377-5284
NPI assigned
May 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 23015 FL
Obstetrics & Gynecology Physician 207V00000X 85957 GA Primary

Addresses

Primary practice location

1942 Atkinson Rd Ste 100
Lawrenceville, GA 30043-5004

Mailing address

1942 Atkinson Rd Ste 100
Lawrenceville, GA 30043-5004
Phone (678) 775-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200903003245 GA Practitioner - Obstetrics/Gynecology 4587081583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical Univ of South Carolina Col of Dental Med, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gwinnett Physician Group, LLCGroup PAC ID 9133211139, 112 clinicians

Practice addresses (Care Compare)

1942 Atkinson Rd
Suite 100
Lawrenceville, GA 30043-5004
Phone (678) 775-0600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23015FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gwinnett Physician Group, LLC Obstetrics & Gynecology CurrentSince Sep 1, 2020 Accepting new patients
Gwinnett Medical Group, Inc PastSince Aug 30, 2020 Accepting new patients
Northside Hospital, Inc. Past Accepting new patients

Locations

1942 Atkinson Rd
Ste 100
Lawrenceville, GA 30043
Phone (678) 775-0600

665 Duluth Hwy
Ste 301
Lawrenceville, GA 30046

550 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-4790

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1033567219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 ATKINSON RD STE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435004",
            "telephone_number": "678-775-0600",
            "fax_number": "678-377-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 ATKINSON RD STE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435004",
            "telephone_number": "678-775-0600",
            "fax_number": "678-377-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER-ADAMS",
        "first_name": "VANDENE",
        "middle_name": "TAMOY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-30",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "23015",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "85957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.