Abva, Inc

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

67623 Issued in GA

Legal business name

ABVA, INC

Practice address

4565 Rockmart Rd SE
Unit 1261
Silver Creek, GA 30173-2442

Phone

(706) 386-1176

NPI assigned

Mar 13, 2017

Last updated

Mar 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chad Brand Hess

Title

Office Manager

Phone

(706) 338-1176

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Angelica Betina Vazquez Anaya, M.D.

  • Psychiatry Physician
  • Madison, AL
  • NPI 1750507794
  NPD (past)

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1699216416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4565 ROCKMART RD SE",
            "address_2": "UNIT 1261",
            "city": "SILVER CREEK",
            "state": "GA",
            "postal_code": "301732442",
            "telephone_number": "706-386-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4565 ROCKMART RD SE",
            "address_2": "UNIT 1261",
            "city": "SILVER CREEK",
            "state": "GA",
            "postal_code": "301732442",
            "telephone_number": "706-386-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABVA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "BRAND",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-338-1176"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "GA",
            "license": "67623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharhonda Barrett
• Lisa A Bell, CRNA
• Sarah Faulkenberry Booker
• Caleb Alexander Ely
• Freeman's Transportation Inc.

• Child & Adolescent Psychiatry Physician in Silver Creek, GA
• Providers in Silver Creek, GA by specialty
• Child & Adolescent Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.