Organization Active NPI

Vitas Healthcare Corporation of Georgia

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Atlanta, GA
National Provider Identifier
1669112843
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
VITAS HEALTHCARE CORPORATION OF GEORGIA
Practice address
2000 River Edge Parkway
Suite GL-100
Atlanta, GA 30328-4694
Phone
(404) 843-6500
NPI assigned
Mar 29, 2022
Last updated
Apr 22, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
VITAS HEALTHCARE CORPORATION OF GEORGIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Authorized official

Name
Nicholas Westfall
Title
President and Ceo
Phone
(513) 618-2230

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X NU
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X NU Primary

Addresses

Primary practice location

2000 River Edge Parkway
Suite GL-100
Atlanta, GA 30328-4694

Mailing address

3046 Corporate Way
Miramar, FL 33025-6547

Other names 1

  • Atlanta Palliative Care Other name

National Provider Directory

National Provider Directory
Part of
Vitas Healthcare Corporation of Georgia

Locations

1575 Northside Dr NW
Ste 470
Atlanta, GA 30318
Phone (404) 250-1806

5990 Love St
#1
Austell, GA 30168
Phone (678) 398-2098

5411 Northland Dr
Sandy Springs, GA 30342
Phone (404) 874-8313

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.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1669112843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3046 CORPORATE WAY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330256547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 RIVER EDGE PARKWAY",
            "address_2": "SUITE GL-100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284694",
            "telephone_number": "404-843-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAS HEALTHCARE CORPORATION OF GEORGIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VITAS HEALTHCARE CORPORATION OF GEORGIA",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "WESTFALL",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "513-618-2230"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlanta Palliative Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Atlanta Palliative Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.