NPIMap

Organization Active NPI

Veranet Healthcare, LLC

  • Family Medicine Physician
  • Villa Rica, GA
National Provider Identifier
1376645689
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
052389 Issued in GA
Legal business name
VERANET HEALTHCARE, LLC
Practice address
403 Permian Way
Suite a
Villa Rica, GA 30180-3203
Phone
(770) 771-5235
Fax
(770) 771-5236
NPI assigned
Sep 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Dr. Merna Michelle Vera, MD
Title
President
Phone
(770) 853-4067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 052389 GA Primary

Addresses

Primary practice location

403 Permian Way
Suite a
Villa Rica, GA 30180-3203

Mailing address

PO Box 1615
Villa Rica, GA 30180
Phone (770) 771-5235

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1376645689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1615",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "30180",
            "telephone_number": "770-771-5235",
            "fax_number": "770-771-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 PERMIAN WAY",
            "address_2": "SUITE A",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301803203",
            "telephone_number": "770-771-5235",
            "fax_number": "770-771-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERANET HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "VERA",
        "authorized_official_first_name": "MERNA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-853-4067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "052389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Rica, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.