NPIMap

Organization Active NPI

Vera Whole Health Wa PC

  • Primary Care Clinic/Center
  • Marietta, GA
National Provider Identifier
1336823558
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
VERA WHOLE HEALTH WA PC
Practice address
3625 Dallas Hwy
BLDG. 800
Marietta, GA 30064
Phone
(770) 800-6842
Fax
(675) 384-6711
NPI assigned
Jun 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
Janell Hansen
Title
Licensing Analyst
Phone
(206) 395-6973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3625 Dallas Hwy
BLDG. 800
Marietta, GA 30064

Mailing address

100 W Towne Ridge Pkwy Ste 200
Sandy, UT 84070-5530
Phone (206) 395-7870

Other names 1

  • Vera Whole Health Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2294230Vera Whole Health3625 Dallas Highway BLDG 800, Marietta, GA 30064Certificate of waiverNov 20, 2027

National Provider Directory

National Provider Directory
Tax ID family
Vera Whole Health Wa PC24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Locations

3625 Dallas Hwy SW
Ste 800
Marietta, GA 30064
Phone (770) 800-6842

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1336823558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W TOWNE RIDGE PKWY STE 200",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840705530",
            "telephone_number": "206-395-7870",
            "fax_number": "206-770-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 DALLAS HWY",
            "address_2": "BLDG. 800",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30064",
            "telephone_number": "770-800-6842",
            "fax_number": "675-384-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERA WHOLE HEALTH WA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-09",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "JANELL",
        "authorized_official_title_or_position": "LICENSING ANALYST",
        "authorized_official_telephone_number": "206-395-6973"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vera Whole Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.