NPIMap

Organization Active NPI

Vitae Health Medical Georgia LLC

  • Internal Medicine Physician
  • Cartersville, GA
National Provider Identifier
1184320574
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VITAE HEALTH MEDICAL GEORGIA LLC
Practice address
78 Opal St
Cartersville, GA 30120-2848
Phone
(770) 382-6120
NPI assigned
Feb 7, 2023
Last updated
Aug 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Mr. Yitzchak Freund
Title
Chief Operating Officer
Phone
(224) 777-8045

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X
Clinical Social Worker 1041C0700X
Internal Medicine Physician 207R00000X Primary
Physical Medicine & Rehabilitation Physician 208100000X

Addresses

Primary practice location

78 Opal St
Cartersville, GA 30120-2848

Mailing address

350 S Northwest Hwy Ste 302
Park Ridge, IL 60068-4262
Phone (224) 777-8045

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231004002138 GA Part B Supplier - Clinic/Group Practice 4183079577 Receives reassigned benefits from 31 practitioners
Practice locations: Atlanta, GA; Woodstock, GA; Winder, GA; Sandy Springs, GA; Rossville, GA; Riverdale, GA; Powder Springs, GA; McDonough, GA…

National Provider Directory

National Provider Directory

Locations

2722 N Decatur Rd
Decatur, GA 30033
Phone (404) 292-0626

1500 S Johnson Ferry Rd
Sandy Springs, GA 30319
Phone (404) 252-2002

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1184320574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S NORTHWEST HWY STE 302",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684262",
            "telephone_number": "224-777-8045",
            "fax_number": "312-312-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 OPAL ST",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202848",
            "telephone_number": "770-382-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAE HEALTH MEDICAL GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "FREUND",
        "authorized_official_first_name": "YITZCHAK",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "224-777-8045",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.