Vinnys Medical LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

VINNYS MEDICAL LLC

Doing business as

VINNYS MEDICAL CLINIC

Practice address

401 S Main St Ste A8
Alpharetta, GA 30009-1957

Phone

(470) 560-7449

NPI assigned

Jan 2, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Vincentia Adjei, NP

Title

Owner

Phone

(678) 488-2532

Specialties & licenses 2

Addresses

Other names 1

• VINNYS MEDICAL CLINIC Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1164135547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 CARISSA TRCE",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300406174",
            "telephone_number": "678-488-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST STE A8",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091957",
            "telephone_number": "470-560-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINNYS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "ADJEI",
        "authorized_official_first_name": "VINCENTIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-488-2532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "info@vinnysmedical.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "401 S Main St Ste A8",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300091957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "VINNYS MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VINNYS MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kelly Villarreal
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• Ronnie Vincenty
• Lisa A Vinokur, MD
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• Madhuri Viswanadham, M.D.

• Clinic/Center in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.