NPIMap

Organization Active NPI

Atlanta Vamc

  • VA Clinic/Center
  • Marietta, GA
National Provider Identifier
1336183979
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
ATLANTA VAMC
Practice address
333 Midway Rd NW
Marietta, GA 30064-5630
Phone
(828) 257-2333
NPI assigned
Jun 15, 2006
Last updated
Sep 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

333 Midway Rd NW
Marietta, GA 30064-5630

Mailing address

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

Other names 1

  • MARIETTA 1 VA CLINIC Other name

National Provider Directory

National Provider Directory
Tax ID family
Atlanta Vamc30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

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

View all 29

Locations

2041 Mesa Valley Way
Ste 185
Austell, GA 30106
Phone (404) 785-8900

333 Midway Rd NW
Marietta, GA 30064
Phone (770) 792-4600

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1336183979",
    "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": "333 MIDWAY RD NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645630",
            "telephone_number": "828-257-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "NPI TEAM MEMBER",
        "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": "MARIETTA 1 VA CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.