Organization Active NPI

Vantis Health Georgia LLC

  • Family Medicine Physician
  • Sandy Springs, GA
National Provider Identifier
1417853441
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VANTIS HEALTH GEORGIA LLC
Practice address
1 Concourse Pkwy Ste 800
Sandy Springs, GA 30328-6188
Phone
(224) 353-0333
NPI assigned
Oct 16, 2026
Last updated
Oct 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Authorized official

Name
Dr. Mina Kharot Paiman, MD
Title
Chief Medical Officer
Phone
(224) 353-0333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1 Concourse Pkwy Ste 800
Sandy Springs, GA 30328-6188

Mailing address

2634 Patriot Blvd Ste C
Glenview, IL 60026-8024

NPI Registry JSON

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

{
    "created_epoch": "1792108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792108800000",
    "number": "1417853441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2634 PATRIOT BLVD STE C",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CONCOURSE PKWY STE 800",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303286188",
            "telephone_number": "224-353-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTIS HEALTH GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-16",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A",
        "authorized_official_last_name": "PAIMAN",
        "authorized_official_first_name": "MINA",
        "authorized_official_middle_name": "KHAROT",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "224-353-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.