Individual provider Active NPI

Brigit Renata Villines, D.V.M.

  • Veterinarian
  • Decatur, GA
National Provider Identifier
1063683829
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
VET005217 Issued in GA
Practice address
5287 Covington Hwy
Decatur, GA 30035-2202
Phone
(770) 593-1155
NPI assigned
Mar 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X VET005217 GA Primary
Veterinarian 174M00000X VT60366136 WA
Veterinarian 174M00000X 7071 OR
Veterinarian 174M00000X V7715 NC

Addresses

Primary practice location

5287 Covington Hwy
Decatur, GA 30035-2202

Mailing address

3239 Satellite Blvd
Building 500, Suite 400
Duluth, GA 30096-4640
Phone (888) 637-4251

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

State licenses

LicenseStateTypeSpecialty
VET005217GAMDVeterinarian
V7715NCMDVeterinarian
7071ORMDVeterinarian
VT60366136WAMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1063683829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3239 SATELLITE BLVD",
            "address_2": "BUILDING 500, SUITE 400",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964640",
            "telephone_number": "888-637-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5287 COVINGTON HWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300352202",
            "telephone_number": "770-593-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLINES",
        "first_name": "BRIGIT",
        "middle_name": "RENATA",
        "name_prefix": "Dr.",
        "credential": "D.V.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "GA",
            "license": "VET005217",
            "primary": true
        },
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "WA",
            "license": "VT60366136",
            "primary": false
        },
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "OR",
            "license": "7071",
            "primary": false
        },
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "NC",
            "license": "V7715",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.