Value in Prevention of Georgia, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

034626 Issued in GA

Legal business name

VALUE IN PREVENTION OF GEORGIA, LLC

Practice address

790 Church St NE Ste 500
Marietta, GA 30060-8957

Phone

(770) 874-9739

Fax

(770) 427-0180

NPI assigned

Mar 22, 2016

Organization subpart

Yes

Parent organization

MDVIP MEDICAL GROUP HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Dr. Andrea Klemes, D.O.

Title

Sole Member

Phone

(561) 982-4300

Specialties & licenses 1

Addresses

Part of

Mdvip Medical Group Holdings LLC

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1366804270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 COMMUNICATION AVE",
            "address_2": "SUITE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334313307",
            "telephone_number": "561-982-4300",
            "fax_number": "561-953-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 CHURCH ST NE STE 500",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608957",
            "telephone_number": "770-874-9739",
            "fax_number": "770-427-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALUE IN PREVENTION OF GEORGIA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MDVIP MEDICAL GROUP HOLDINGS LLC",
        "enumeration_date": "2016-03-22",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "KLEMES",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "561-982-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "034626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.