Provider Partners, LLC Dba Your Virtual Clincial

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROVIDER PARTNERS, LLC DBA YOUR VIRTUAL CLINCIAL

Doing business as

Your Virtual Clinic

Practice address

1815 Satellite Blvd Ste 403
Duluth, GA 30097-5239

Phone

(770) 401-5200

NPI assigned

Nov 12, 2018

Last updated

Mar 16, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

TKRRAs reported in NPPES

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

Authorized official

Name

Rutherford Polhill

Title

Owner

Phone

(770) 401-5200

Specialties & licenses 1

Addresses

Other names 1

• Your Virtual Clinic Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1598233231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 OLD PEACHTREE RD NW STE 101",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247289",
            "telephone_number": "770-401-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 SATELLITE BLVD STE 403",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300975239",
            "telephone_number": "770-401-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDER PARTNERS, LLC DBA YOUR VIRTUAL CLINCIAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TKRR",
        "enumeration_date": "2018-11-12",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "POLHILL",
        "authorized_official_first_name": "RUTHERFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-401-5200"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TalkEHR.com",
            "affiliation": "N",
            "endpointDescription": "Electronic Medical Record",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure",
            "address_1": "1815 Satellite Blvd Ste 403",
            "city": "Duluth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300975239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Your Virtual Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Your Virtual Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Duluth, GA
• Providers in Duluth, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.