V Physician Services LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

V PHYSICIAN SERVICES LLC

Practice address

1124 N Tennessee St Ste 104
Cartersville, GA 30120-7938

Phone

(470) 684-1448

Fax

(888) 498-4169

NPI assigned

Aug 17, 2021

Organization subpart

No

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

Authorized official

Name

Donna Lowery Priest

Title

Office Manager

Phone

(470) 684-1448

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GHIICD

Practitioners 8

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

• Lakshman Kumar Dinavahi, MD

  • Internal Medicine Physician
  • Marietta, GA
  • NPI 1528233723
  Medicare reassignment NPD
• Marybeth Daria Fazio, APRN

  • Family Nurse Practitioner
  • Conyers, GA
  • NPI 1811721335
  Medicare reassignment NPD
• Pouria Hosseini, MD

  • Internal Medicine Physician
  • Cartersville, GA
  • NPI 1013536549
  Medicare reassignment NPD
• Stacey Ikebudu, MD

  • Internal Medicine Physician
  • Kennesaw, GA
  • NPI 1033772298
  Medicare reassignment NPD
• Shreedhar M Nagnur, MD

  • Internal Medicine Physician
  • Newnan, GA
  • NPI 1538168968
  Medicare reassignment NPD
• Kalyana Chakravarthi Sarvepalli, MD

  • Internal Medicine Physician
  • Cartersville, GA
  • NPI 1326534454
  Medicare reassignment NPD
• Quyen Le Ta, NP

  • Nurse Practitioner
  • Cartersville, GA
  • NPI 1003264250
  Medicare reassignment NPD
• Dana Justine Fisher, DPM

  • Foot Surgery Podiatrist
  • Orangeburg, SC
  • NPI 1053360115
  NPD (past)

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709337600000",
    "number": "1699441162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 N TENNESSEE ST STE 104",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301207938",
            "telephone_number": "470-684-1448",
            "fax_number": "888-498-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 N TENNESSEE ST STE 104",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301207938",
            "telephone_number": "470-684-1448",
            "fax_number": "888-498-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V PHYSICIAN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2024-03-02",
        "certification_date": "2024-03-02",
        "status": "A",
        "authorized_official_last_name": "PRIEST",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "LOWERY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "470-684-1448"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil Satish Upadhyay, DPM
• Thashi M Uppalapati, MD
• Zella Mae Upshaw, LPC
• Urgent Care Travel Inc
• Aracely Uribe
• Jennifer Vandenburg, COTA/L
• VBRX, Inc
• Thammi Raju Vegiraju, M.D.
• Jennifer Kay Vernon, FNP - C
• Village Podiatry Group LLC

• Geriatric Medicine (Internal Medicine) Physician in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Geriatric Medicine (Internal Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.