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Atlanta Vamc

Organization Active NPI VA Clinic/Center · Decatur, GA

NPI 1255110201 · NPPES record last updated Sep 28, 2023

Key facts

NPI
1255110201
Entity type
Organization (NPI type 2)
Primary specialty
VA Clinic/Center 261QV0200X
Legal business name
ATLANTA VAMC
Practice address
1670 Clairmont Rd
Decatur, GA 30033-4004
Phone
(828) 257-2333
NPI assigned
Sep 27, 2023
Organization subpart
No

Authorized official

Name
Erin Denise Potter
Title
Npi Team
Phone
(202) 382-2579

Corporate family (same tax ID) 29

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

View all 29

National Provider Directory

Tax ID family
Atlanta Vamc (30 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X Yes

Addresses

Primary practice location

1670 Clairmont Rd
Decatur, GA 30033-4004

Mailing address

PO Box 89498
Cleveland, OH 44101-6498
Phone (828) 257-2333

Other names

  • DECATUR VA MOBILE CLINIC Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 28, 2023.

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1255110201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 89498",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441016498",
            "telephone_number": "828-257-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 CLAIRMONT RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300334004",
            "telephone_number": "828-257-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "NPI TEAM",
        "authorized_official_telephone_number": "202-382-2579"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DECATUR VA MOBILE CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Decatur, GA

All providers in Decatur, GA · VA Clinic/Center in Georgia

Sources for this page

Verify at the official NPI Registry.