Active NPI
Vituro Health of Georgia, LLC
- Specialist
- Birmingham, AL
National Provider Identifier
1609342088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- VITURO HEALTH OF GEORGIA, LLC
- Practice address
- 2901 2ND Ave S Ste 130
Birmingham, AL 35233-2928 - Phone
- (866) 484-8876
- Fax
- (941) 296-8210
- NPI assigned
- Oct 23, 2018
- Organization subpart
- Yes
- Parent organization
- VITURO HEALTH, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Cleveland Walker
- Title
- Ceo
- Phone
- (205) 515-5401
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
2901 2ND Ave S Ste 130
Birmingham, AL 35233-2928
Mailing address
2901 2ND Ave S Ste 130
Birmingham, AL 35233-2928
Phone (866) 484-8876
National Provider Directory
National Provider Directory- Part of
- Vituro Health LLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Specialist
- Birmingham, AL
- NPI 1821565524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1540252800000",
"number": "1609342088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 2ND AVE S STE 130",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352332928",
"telephone_number": "866-484-8876",
"fax_number": "941-296-8210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 2ND AVE S STE 130",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352332928",
"telephone_number": "866-484-8876",
"fax_number": "941-296-8210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITURO HEALTH OF GEORGIA, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VITURO HEALTH, LLC",
"enumeration_date": "2018-10-23",
"last_updated": "2018-10-23",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "CLEVELAND",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "205-515-5401",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.