NPIMap

Organization Active NPI

West Georgia Center for Diabetes and Endocrinology

  • Specialist
  • Carrollton, GA
National Provider Identifier
1821116781
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WEST GEORGIA CENTER FOR DIABETES AND ENDOCRINOLOGY
Practice address
410 Dixie St
Carrollton, GA 30117-3922
Phone
(678) 796-0681
Fax
(770) 836-8477
NPI assigned
Mar 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Scott Vavrik, M,D.NPI 1003915158
Title
Owner
Phone
(678) 796-0681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X GA Primary

Addresses

Primary practice location

410 Dixie St
Carrollton, GA 30117-3922

Mailing address

410 Dixie St
Carrollton, GA 30117-3922
Phone (678) 796-0681

National Provider Directory

National Provider Directory

Locations

410 Dixie St
Carrollton, GA 30117
Phone (678) 796-0681

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821116781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173922",
            "telephone_number": "678-796-0681",
            "fax_number": "770-836-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173922",
            "telephone_number": "678-796-0681",
            "fax_number": "770-836-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GEORGIA CENTER FOR DIABETES AND ENDOCRINOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAVRIK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-796-0681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M,D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

  • 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.