Vitainfuse Therapy LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

VITAINFUSE THERAPY LLC

Doing business as

Vitamedx

Practice address

6254 Memorial Dr Ste F
Stone Mountain, GA 30083-2884

Phone

(770) 558-1029

NPI assigned

Jun 24, 2022

Last updated

Oct 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrea Caeser, NP

Title

Chief Executive Officer

Phone

(678) 488-3902

Specialties & licenses 1

Addresses

Other names 1

• Vitamedx Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea Pindling, NP

  • Nurse Practitioner
  • Stone Mountain, GA
  • NPI 1477841336
  Medicare reassignment NPD
• Joel Megli, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1518902873
  Medicare reassignment NPD (past)

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664668800000",
    "number": "1467183996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6254 MEMORIAL DR STE F",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300832884",
            "telephone_number": "770-558-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6254 MEMORIAL DR STE F",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300832884",
            "telephone_number": "770-558-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAINFUSE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-10-02",
        "certification_date": "2022-10-02",
        "status": "A",
        "authorized_official_last_name": "CAESER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "678-488-3902",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitamedx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vitamedx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vision Youth Services Inc.
• Visions Health Spa
• Visions of Hope Counseling
• Visions of New Hope, LLC
• Vistas Home Care, Inc.
• Vital Rides, LLC
• Sienna Wagner
• Primrose Wahome, LPN
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3188)
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1184)

• Multi-Specialty Clinic/Center in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Multi-Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.