VA Medical Center

Primary specialty

Military HospitalTaxonomy code 286500000X

License

LPN074690 Issued in GA

Legal business name

VA MEDICAL CENTER

Practice address

1401 Post Oak Dr Apt F
Clarkston, GA 30021-3145

Phone

(404) 808-3229

NPI assigned

Jul 5, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Lea Michelle Walker

Title

LPN

Phone

(404) 808-3229

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497953012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33622",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300330622",
            "telephone_number": "404-808-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 POST OAK DR APT F",
            "city": "CLARKSTON",
            "state": "GA",
            "postal_code": "300213145",
            "telephone_number": "404-808-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "LEA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "404-808-3229",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "GA",
            "license": "LPN074690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Starr 4 LLC
• Steven Allan Sumner, MD
• Tiffany Cheryl Taylor, LPC
• Christine Tindel, APRN
• U.N. Pharmcay
• Kimberly Veira, LCSW
• Lilian Ayidi Vende
• Thu D. Vu, D.D.S.
• Dorothy A. O. White-Williams, M.D.
• Lauren Alicia White

• Military Hospital in Clarkston, GA
• Providers in Clarkston, GA by specialty
• Military Hospital in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.