Individual provider Active NPI

Jeffrey Vrieland, MD

  • Family Medicine Physician
  • Lawrenceville, GA
National Provider Identifier
1235477340
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
040812 Issued in GA
Practice address
1569 Buford Dr
Lawrenceville, GA 30043-3725
Phone
(770) 277-5456
Fax
(770) 277-1424
NPI assigned
Jan 24, 2013
Last updated
Jan 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 040812 GA Primary

Addresses

Primary practice location

1569 Buford Dr
Lawrenceville, GA 30043-3725

Mailing address

1569 Buford Dr
Lawrenceville, GA 30043-3725
Phone (770) 277-5456

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040121000646 GA Practitioner - Family Practice 8628980893 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
040812GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Doctors Inn Family Medicine CurrentSince Dec 11, 2024 Accepting new patients
Reagan Medical Center Family Medicine PastSince Jan 1, 1990 Accepting new patients
Chestatee Emergency Physicians, LLC Past Accepting new patients

Locations

1569 Buford Dr
Lawrenceville, GA 30043
Phone (770) 277-5456

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1235477340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 BUFORD DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300433725",
            "telephone_number": "770-277-5456",
            "fax_number": "770-277-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 BUFORD DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300433725",
            "telephone_number": "770-277-5456",
            "fax_number": "770-277-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VRIELAND",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "040812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.