Vitalogy Medical LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VITALOGY MEDICAL LLC

Practice address

3065 S Cobb Dr SE
Suite B
Smyrna, GA 30080-7809

Phone

(404) 432-0234

NPI assigned

Jan 18, 2011

Organization subpart

No

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

Authorized official

Name

Todd Kohout

Title

Managing Member

Phone

(404) 432-0234

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Christopher Kyle Brooks, D.C.

  • Chiropractor
  • Smyrna, GA
  • NPI 1033119193
  NPD (past)

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1376848655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5310",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300235310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 S COBB DR SE",
            "address_2": "SUITE B",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807809",
            "telephone_number": "404-432-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALOGY MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "KOHOUT",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "404-432-0234"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madhu Vishwanath, M.D.
• Vinai Madhure Vishwanath, M.D.
• Visionary Care Inc.
• Visions Counseling Solutions, LLC
• Meena Visvanathan, MD
• Franklin T Von Hack, MD
• Beatrice U Von Zeschau Wilder, MD
• VPG 1, LLC
• W. Theron McLarty MD PC
• Daphne M Wacasey, N.P.

• Family Medicine Physician in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.