Organization Active NPI

VA Medical Center

  • Military Hospital
  • Grayson, GA
National Provider Identifier
1609806504
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.