Veterans Adminstration

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

215470 Issued in NY

Legal business name

VETERANS ADMINSTRATION

Practice address

Veterans Administration
1670 Clairmont Rd
Decatur, GA 30033

Phone

(404) 417-1765

Fax

(404) 417-1770

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Gloria Grace Harracksingh, RN

Title

Charge Norse

Phone

(401) 417-1765

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700993326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 MOUNTAIN TRL",
            "address_2": "DOUGLASVILLE",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351246",
            "telephone_number": "404-417-1765",
            "fax_number": "404-417-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VETERANS ADMINISTRATION",
            "address_2": "1670 CLAIRMONT RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30033",
            "telephone_number": "404-417-1765",
            "fax_number": "404-417-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS ADMINSTRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRACKSINGH",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "CHARGE NORSE",
        "authorized_official_telephone_number": "401-417-1765",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "215470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Nicole Vergara, PA-C
• Angela Marie Verghese, RD
• Hans Verkerke
• Mirose Philistin Verme, NP-C
• Eddison Verrett, PT, DPT
• Rickin Vibhakar
• Marcia Victor, LCSW
• Victory Won Counseling and Res Care Prof. Corp
• Juli M. Vierthaler, PSY.D.
• View Point Health

• General Acute Care Hospital in Decatur, GA
• Providers in Decatur, GA by specialty
• General Acute Care Hospital in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.