Organization Active NPI

Victforce, Inc

Doing business as Windermere Medical Clinic and SPA

  • Internal Medicine Physician
  • Cumming, GA
National Provider Identifier
1639317985
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
055177 Issued in GA
Legal business name
VICTFORCE, INC
Doing business as
Windermere Medical Clinic and SPA
Practice address
3850 Windermere Pkwy
Suite #105
Cumming, GA 30041-7002
Phone
(404) 374-1796
NPI assigned
Jan 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
Dr. Priya Vamsi Bayyapureddy, M.D.
Title
Ceo
Phone
(404) 374-1796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 055177 GA Primary

Addresses

Primary practice location

3850 Windermere Pkwy
Suite #105
Cumming, GA 30041-7002

Mailing address

1535 Boomer Cir
Suwanee, GA 30024-6610
Phone (678) 957-9283

Other names 1

  • Windermere Medical Clinic and SPA Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1232755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1639317985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 BOOMER CIR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246610",
            "telephone_number": "678-957-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 WINDERMERE PKWY",
            "address_2": "SUITE #105",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417002",
            "telephone_number": "404-374-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTFORCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-24",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "BAYYAPUREDDY",
        "authorized_official_first_name": "PRIYA",
        "authorized_official_middle_name": "VAMSI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-374-1796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "055177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windermere Medical Clinic and SPA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.