Individual provider Active NPI

Vintonne A Naiden, M.D.

  • Specialist
  • Decatur, GA
National Provider Identifier
1750334611
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
031428 Issued in GA
Practice address
3951 Snapfinger Pkwy
Ste 350
Decatur, GA 30035-3204
Phone
(404) 284-5498
Fax
(404) 284-3855
NPI assigned
May 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 031428 GA Primary

Addresses

Primary practice location

3951 Snapfinger Pkwy
Ste 350
Decatur, GA 30035-3204

Mailing address

3951 Snapfinger Pkwy
Ste 350
Decatur, GA 30035-3204
Phone (404) 284-5498

Other identifiers 1

IdentifierTypeStateIssuer
00400441DMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 17, 2014 through Nov 17, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
031428GAMDSpecialist

Interoperability endpoints

  • Direct secure messaging: vnaiden51655@lrhs.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750334611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3951 SNAPFINGER PKWY",
            "address_2": "STE 350",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353204",
            "telephone_number": "404-284-5498",
            "fax_number": "404-284-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3951 SNAPFINGER PKWY",
            "address_2": "STE 350",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353204",
            "telephone_number": "404-284-5498",
            "fax_number": "404-284-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIDEN",
        "first_name": "VINTONNE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "031428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00400441D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.