Active NPI
Value in Prevention of Georgia Roswell LLC
- Internal Medicine Physician
- Roswell, GA
National Provider Identifier
1184486169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- VALUE IN PREVENTION OF GEORGIA ROSWELL LLC
- Practice address
- 1265 Upper Hembree Rd Ste 200
Roswell, GA 30076-1258 - Phone
- (770) 442-9982
- Fax
- (770) 442-5824
- NPI assigned
- Jan 25, 2024
- 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
- Andrea Klemes, DO
- Title
- Chief Medical Officer
- Phone
- (561) 982-4300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1265 Upper Hembree Rd Ste 200
Roswell, GA 30076-1258
Mailing address
4950 Communication Ave
Boca Raton, FL 33431-3307
Phone (561) 400-2713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
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 |
|---|---|---|---|
| 11D0950466 | Value in Prevention of Georgia Roswell LLC | Certificate of waiver | Jun 30, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Marietta, GA
- NPI 1881683001
-
- Internal Medicine Physician
- Roswell, GA
- NPI 1891779344
-
- Internal Medicine Physician
- Roswell, GA
- NPI 1770566523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706140800000",
"number": "1184486169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4950 COMMUNICATION AVE",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334313307",
"telephone_number": "561-400-2713",
"fax_number": "561-455-9215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 UPPER HEMBREE RD STE 200",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300761258",
"telephone_number": "770-442-9982",
"fax_number": "770-442-5824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALUE IN PREVENTION OF GEORGIA ROSWELL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-25",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A",
"authorized_official_last_name": "KLEMES",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "561-982-4300",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Sariah Uzcategui
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- Sarah Valarezo
- Amanda Valentini, OTR
- Monica Renee Van Deventer, MS, NCC
- Mary Katherine Van Heel, PT, DPT
- Christine Elizabeth Van Looy, RN, APRN
- Van Varick Pediatric Physical Therapy
- Elizabeth Van Varick, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.