Individual provider Active NPI

Vanessa Kiepura

  • Internal Medicine Physician
  • Alpharetta, GA
National Provider Identifier
1124446810
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
78476 Issued in GA
Practice address
3508 Old Milton Pkwy
Alpharetta, GA 30005-4458
Phone
(678) 404-5521
Fax
(470) 275-0879
NPI assigned
Mar 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 78476 GA Primary

Addresses

Primary practice location

3508 Old Milton Pkwy
Alpharetta, GA 30005-4458

Mailing address

3508 Old Milton Pkwy
Alpharetta, GA 30005-4458
Phone (784) 045-5216

Other names 1

  • Vanessa Del Valle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2025 through Apr 1, 2027

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.89 of 100Reported as group
Quality
76.16
Promoting interoperability
88
Improvement activities
40
Cost
70.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
78476GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Light Direct Primary Care, LLC Internal Medicine CurrentSince Aug 3, 2025 Accepting new patients

Locations

3508 Old Milton Pkwy
Alpharetta, GA 30005
Phone (470) 646-6602

Interoperability endpoints

  • Direct secure messaging: vanessa.kiepura@941708533301252.direct.elationemr.com
  • Direct secure messaging: vanessakiepura@lmg.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1124446810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 OLD MILTON PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054458",
            "telephone_number": "784-045-5216",
            "fax_number": "470-275-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 OLD MILTON PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054458",
            "telephone_number": "678-404-5521",
            "fax_number": "470-275-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEPURA",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "78476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "DEL VALLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.