Organization Active NPI

Vladimyr Hilaire

  • Surgical Physician Assistant
  • Jonesboro, GA
National Provider Identifier
1477061786
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
VLADIMYR HILAIRE
Practice address
8211 Blackfoot TRL
Jonesboro, GA 30236-3912
Phone
(404) 952-6335
NPI assigned
Jan 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Mr. Vladimyr Kuvarov Hilaire, CSFANPI 1558870113
Title
Owner
Phone
(404) 952-6335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

8211 Blackfoot TRL
Jonesboro, GA 30236-3912

Mailing address

8211 Blackfoot TRL
Jonesboro, GA 30236-3912
Phone (404) 954-0790

Other names 1

  • Vladimyr Hilaire LLC Other name

National Provider Directory

National Provider Directory

Locations

100 Postmaster Dr
Unit 2769
McDonough, GA 30253

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": "1516492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1477061786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8211 BLACKFOOT TRL",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363912",
            "telephone_number": "404-954-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8211 BLACKFOOT TRL",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363912",
            "telephone_number": "404-952-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VLADIMYR HILAIRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-21",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "HILAIRE",
        "authorized_official_first_name": "VLADIMYR",
        "authorized_official_middle_name": "KUVAROV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-952-6335",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vladimyr Hilaire LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.