Active NPI
Vladimyr Hilaire
- Surgical Physician Assistant
- Jonesboro, GA
National Provider Identifier
1477061786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Vladimyr Kuvarov Hilaire, CSFA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 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
National Provider Directory
National Provider DirectoryLocations
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.