Active NPI
Vitaledge LLC
- Family Nurse Practitioner
- Peachtree City, GA
National Provider Identifier
1376399642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- VITALEDGE LLC
- Practice address
- 2581 Highway 54 Ste B3
Peachtree City, GA 30269-3528 - Phone
- (770) 714-3106
- NPI assigned
- Apr 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Peggy Darlene Troyer, FNP
- Title
- FNP
- Phone
- (470) 877-4764
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
2581 Highway 54 Ste B3
Peachtree City, GA 30269-3528
Mailing address
2581 Highway 54 Ste B3
Peachtree City, GA 30269-3528
Phone (770) 714-3106
National Provider Directory
National Provider Directory- Tax ID family
- Vitaledge Health Wellness
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Multi-Specialty Clinic/Center
- Peachtree City, GA
- NPI 1447073085
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Newnan, GA
- NPI 1720622921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738281600000",
"number": "1376399642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2581 HIGHWAY 54 STE B3",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302693528",
"telephone_number": "770-714-3106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2581 HIGHWAY 54 STE B3",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302693528",
"telephone_number": "770-714-3106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITALEDGE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-27",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A",
"authorized_official_last_name": "TROYER",
"authorized_official_first_name": "PEGGY",
"authorized_official_middle_name": "DARLENE",
"authorized_official_title_or_position": "FNP",
"authorized_official_telephone_number": "470-877-4764",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.