U.S. Department of Veterans Affairs

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

Legal business name

U.S. DEPARTMENT OF VETERANS AFFAIRS

Practice address

1670 Clairmont Rd
Decatur, GA 30033-4004

Phone

(404) 321-6111

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Allen Walker, MPA

Title

Vocational Rehabilitation Specialis

Phone

(404) 321-6111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295844439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 ROOSEVELT BLVD",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302336142",
            "telephone_number": "678-752-0172"
        },
        {
            "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": "404-321-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.S. DEPARTMENT OF VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "VOCATIONAL REHABILITATION SPECIALIS",
        "authorized_official_telephone_number": "404-321-6111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Terree Tyler, LMSW
• Tyrone D. Lane Enterprises, Incorporated
• Madison G Tyrus
• Jennifer L Tyson, PA-C
• Natasha Tyson
• U.S. Healthworks Medical Group of Georgia, Inc.
• Charlotte Christian Udell
• Erica Lee Udell, O.D.
• Eme Idiong Udi
• Raphael Sopunim Udom

• Rehabilitation Hospital Unit in Decatur, GA
• Providers in Decatur, GA by specialty
• Rehabilitation Hospital Unit in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.