NPIMap

Organization Active NPI

Vernu 2 Inc

  • Interventional Cardiology Physician
  • Alpharetta, GA
National Provider Identifier
1174302194
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
VERNU 2 INC
Practice address
11680 Great Oaks Way Ste 150
Alpharetta, GA 30022-2459
Phone
(770) 755-5441
NPI assigned
Sep 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Jacqueline Sanders
Title
Credentialing Manager
Phone
(502) 630-2036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

11680 Great Oaks Way Ste 150
Alpharetta, GA 30022-2459

Mailing address

3333 Old Milton Pkwy Ste 360
Alpharetta, GA 30005-4626
Phone (770) 755-5441

Other practice location 1

11680 Great Oaks Way Ste 140-A
Alpharetta, GA 30022-2457
Phone (770) 755-5441

Other names 1

  • Vernu 2 Imaging-Royal Ridge Other name

National Provider Directory

National Provider Directory
Tax ID family
Vernu 27 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11680 Great Oaks Way
Ste 140A
Alpharetta, GA 30022
Phone (678) 580-3823

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1174302194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 OLD MILTON PKWY STE 360",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054626",
            "telephone_number": "770-755-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11680 GREAT OAKS WAY STE 150",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300222459",
            "telephone_number": "770-755-5441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11680 Great Oaks Way Ste 140-A",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300222457",
            "country_code": "US",
            "telephone_number": "770-755-5441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VERNU 2 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "502-630-2036"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vernu 2 Imaging-Royal Ridge",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.