Organization Active NPI

Vaccines 2 Go, Inc.

  • Public Health or Welfare Agency
  • Suwanee, GA
National Provider Identifier
1093031098
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
VACCINES 2 GO, INC.
Practice address
3325 Paddock Pkwy
Suite 170
Suwanee, GA 30024-6059
Phone
(770) 896-8284
Fax
(678) 672-1263
NPI assigned
Apr 15, 2010
Last updated
Aug 3, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
VACCINES 2 GOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Authorized official

Name
Mrs. Jody Stewart
Title
Ceo
Phone
(770) 896-8284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

3325 Paddock Pkwy
Suite 170
Suwanee, GA 30024-6059

Mailing address

3325 Paddock Pkwy
Suite 170
Suwanee, GA 30024-6059
Phone (770) 896-8284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120509000367 GA Part B Supplier - Mass Immunization (Roster Biller Only) 4183886179 Practice locations: Suwanee, GA

National Provider Directory

National Provider Directory

Locations

3325 Paddocks Pkwy
Ste 170
Suwanee, GA 30024
Phone (770) 896-8284

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1093031098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 PADDOCK PKWY",
            "address_2": "SUITE 170",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246059",
            "telephone_number": "770-896-8284",
            "fax_number": "678-672-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 PADDOCK PKWY",
            "address_2": "SUITE 170",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246059",
            "telephone_number": "770-896-8284",
            "fax_number": "678-672-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VACCINES 2 GO, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VACCINES 2 GO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-896-8284",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.