Active NPI
Valentine Health
- Obesity Medicine (Preventive Medicine) Physician
- Fayetteville, GA
National Provider Identifier
1730773326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Preventive Medicine) Physician
- Legal business name
- VALENTINE HEALTH
- Practice address
- 490 Bradley Dr Ste a
Fayetteville, GA 30214-2019 - Phone
- (470) 357-6377
- Fax
- (470) 357-6979
- NPI assigned
- Feb 24, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andre K Brooks
- Title
- Program Director - Owner
- Phone
- (470) 274-3280
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | Primary |
Addresses
Primary practice location
490 Bradley Dr Ste a
Fayetteville, GA 30214-2019
Mailing address
490 Bradley Dr Ste a
Fayetteville, GA 30214-2019
Phone (470) 357-6377
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@valentinehealthmed.com | Direct |
National Provider Directory
National Provider DirectoryLocations
490 Bradley Dr
Ste A
Fayetteville, GA 30214
Phone (470) 357-6377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614124800000",
"number": "1730773326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 BRADLEY DR STE A",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302142019",
"telephone_number": "470-357-6377",
"fax_number": "470-357-6979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 BRADLEY DR STE A",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302142019",
"telephone_number": "470-357-6377",
"fax_number": "470-357-6979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALENTINE HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-24",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "ANDRE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PROGRAM DIRECTOR - OWNER",
"authorized_official_telephone_number": "470-274-3280",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2083B0002X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Preventive Medicine, Obesity Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@valentinehealthmed.com",
"affiliation": "N",
"endpointDescription": "Electronic Fax that goes into a EMR or secure email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "490 Bradley Dr Ste A",
"city": "Fayetteville",
"state": "GA",
"country_code": "US",
"postal_code": "302142019",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.