Preferred Virtual Healthcare, Inc

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

PREFERRED VIRTUAL HEALTHCARE, INC

Practice address

2330 Scenic Hwy S
Snellville, GA 30078-3115

Phone

(678) 632-1602

Fax

(949) 437-3629

NPI assigned

Aug 24, 2022

Organization subpart

No

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

Authorized official

Name

Sheneeta Mechelle Watts, PANPI 1659618379

Title

Owner, Ceo

Phone

(678) 632-1602

Specialties & licenses 1

Addresses

Other names 1

• Sheneeta Watts PA & Company Former legal business name

Practitioners 1

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

• Sheneeta Mechelle Watts, PA-C

  • Physician Assistant
  • Middletown, CT
  • NPI 1659618379

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1679292437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 SCENIC HWY S",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783115",
            "telephone_number": "678-632-1602",
            "fax_number": "949-437-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 SCENIC HWY S",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783115",
            "telephone_number": "678-632-1602",
            "fax_number": "949-437-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED VIRTUAL HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "SHENEETA",
        "authorized_official_middle_name": "MECHELLE",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "678-632-1602",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheneeta Watts PA & Company",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Sheneeta Watts PA & Company",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Physician Assistant in Snellville, GA
• Providers in Snellville, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.