Active NPI
VA Medical Center
- General Acute Care Hospital
- Decatur, GA
National Provider Identifier
1114961448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- RN039013
- Legal business name
- VA MEDICAL CENTER
- Practice address
- 1670 Clairmont Rd
Decatur, GA 30033-4004 - Phone
- (404) 321-6111
- NPI assigned
- Jun 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Bettye N Robinson, RN
- Title
- Staff Nurse
- Phone
- (404) 321-6111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | RN039013 | GA | Primary |
Addresses
Primary practice location
1670 Clairmont Rd
Decatur, GA 30033-4004
Mailing address
1670 Clairmont Rd
Decatur, GA 30033-4004
Phone (404) 321-6111
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0987706 | Dept of VA Medical Center-Decatur | Accreditation | May 22, 2026 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- natalia.casper@direct.va.gov
- matoka.horton@direct.va.gov
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114961448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1670 CLAIRMONT RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300334004",
"telephone_number": "404-321-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1670 CLAIRMONT RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300334004",
"telephone_number": "404-321-6111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VA MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "BETTYE",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "STAFF NURSE",
"authorized_official_telephone_number": "404-321-6111",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "GA",
"license": "RN039013",
"primary": true
}
],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.