Organization Active NPI

Vida Billing Services

  • Surgical Physician Assistant
  • Douglasville, GA
National Provider Identifier
1467732693
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
VIDA BILLING SERVICES
Practice address
1851 Market St
Suite 104
Douglasville, GA 30135-3134
Phone
(678) 468-6846
Fax
(888) 207-4322
NPI assigned
Aug 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Authorized official

Name
Mr. Michael Montemayor
Title
President
Phone
(678) 469-6846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

1851 Market St
Suite 104
Douglasville, GA 30135-3134

Mailing address

1851 Market St
Suite 104
Douglasville, GA 30135-3135
Phone (678) 468-6846

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1467732693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 MARKET ST",
            "address_2": "SUITE 104",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301353135",
            "telephone_number": "678-468-6846",
            "fax_number": "888-207-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 MARKET ST",
            "address_2": "SUITE 104",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301353134",
            "telephone_number": "678-468-6846",
            "fax_number": "888-207-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA BILLING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "MONTEMAYOR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-469-6846",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.