Active NPI
VA Medical Center
- Military Hospital
- Grayson, GA
National Provider Identifier
1609806504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Hospital
- Legal business name
- VA MEDICAL CENTER
- Practice address
- 940 Capella Creek Way
Grayson, GA 30017-1578 - Phone
- (770) 972-3658
- NPI assigned
- Jul 4, 2006
- 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
- Mrs. Vicky Darlene Campbell-Hemming, RN
- Title
- Nurse Manager
- Phone
- (404) 321-6111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Hospital | 286500000X | GA | Primary |
Addresses
Primary practice location
940 Capella Creek Way
Grayson, GA 30017-1578
Mailing address
940 Capella Creek Way
Grayson, GA 30017-1578
Phone (770) 972-3658
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609806504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 CAPELLA CREEK WAY",
"city": "GRAYSON",
"state": "GA",
"postal_code": "300171578",
"telephone_number": "770-972-3658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 CAPELLA CREEK WAY",
"city": "GRAYSON",
"state": "GA",
"postal_code": "300171578",
"telephone_number": "770-972-3658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VA MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CAMPBELL-HEMMING",
"authorized_official_first_name": "VICKY",
"authorized_official_middle_name": "DARLENE",
"authorized_official_title_or_position": "NURSE MANAGER",
"authorized_official_telephone_number": "404-321-6111",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "286500000X",
"taxonomy_group": "",
"desc": "Military Hospital",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grayson, GA
Sources for this page
- 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.