Active NPI
Versie Lee Slay, M.D.
- Family Medicine Physician
- Stockbridge, GA
National Provider Identifier
1750413779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 039238
- Practice address
- 145 Eagles Walk Ste a
Stockbridge, GA 30281-7340 - Phone
- (770) 389-3855
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 039238 | GA | Primary |
Addresses
Primary practice location
145 Eagles Walk Ste a
Stockbridge, GA 30281-7340
Mailing address
3710 Millstream LN
Stockbridge, GA 30281-5600
Phone (770) 922-1875
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30621981H | Medicaid | GA | |
| 30621981J | Medicaid | GA | |
| 30621981L | Medicaid | GA | |
| 061407 | Other | GA | BC/BS OF GA GROUP # |
| 30621981G | Medicaid | GA | |
| 30621981K | Medicaid | GA | |
| 30621981I | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aylo Health, LLC | Family Medicine | Past | Accepting new patients |
| Aylo Health, LLC | Family Medicine | Past | Accepting new patients |
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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-
- Sleep Medicine (Family Medicine) Physician
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- NPI 1922831445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206921600000",
"number": "1750413779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3710 MILLSTREAM LN",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302815600",
"telephone_number": "770-922-1875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 EAGLES WALK STE A",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302817340",
"telephone_number": "770-389-3855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLAY",
"first_name": "VERSIE",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2008-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "039238",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30621981H",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30621981J",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30621981L",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF GA GROUP #",
"identifier": "061407",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30621981G",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30621981K",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30621981I",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.