Active NPI
Vincent Anthony Saunders
- School Counselor
- Hephzibah, GA
National Provider Identifier
1295204402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- Practice address
- 4448 T J Kelly Dr
Hephzibah, GA 30815-5892 - Phone
- (804) 479-9274
- NPI assigned
- Nov 16, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| School Counselor | 101YS0200X | 059332319 | GA | |
| School Counselor | 101YS0200X | Primary |
Addresses
Primary practice location
4448 T J Kelly Dr
Hephzibah, GA 30815-5892
Mailing address
3643 Walton Way Ext BLDG 4
Augusta, GA 30909-6677
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 059332319 | Other | GA | DRIVER'S LICENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 059332319 | GA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1295204402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3643 WALTON WAY EXT BLDG 4",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4448 T J KELLY DR",
"city": "HEPHZIBAH",
"state": "GA",
"postal_code": "308155892",
"telephone_number": "804-479-9274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUNDERS",
"first_name": "VINCENT",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-16",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "GA",
"license": "059332319",
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENCE",
"identifier": "059332319",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hephzibah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.