Individual provider Active NPI

Valisia A Andrews, M.D.

  • Specialist
  • Atlanta, GA
National Provider Identifier
1851406359
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
046291 Issued in GA
Practice address
6105 Peachtree Dunwoody Rd
Building E, Suite 150
Atlanta, GA 30328-5909
Phone
(404) 250-3660
Fax
(404) 250-3665
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 046291 GA Primary

Addresses

Primary practice location

6105 Peachtree Dunwoody Rd
Building E, Suite 150
Atlanta, GA 30328-5909

Mailing address

6105 Peachtree Dunwoody Rd
Building E, Suite 150
Atlanta, GA 30328-5909
Phone (404) 250-3660

Other identifiers 1

IdentifierTypeStateIssuer
000819959BMedicaidGA

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

OrganizationSpecialtyStatusNew patients
Cumberland OBGYN Single Specialty Past Accepting new patients
Centro Prenatal de Gwinnett LLC Past Accepting new patients
Northside Hospital, Inc. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1851406359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 PEACHTREE DUNWOODY RD",
            "address_2": "BUILDING E, SUITE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285909",
            "telephone_number": "404-250-3660",
            "fax_number": "404-250-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6105 PEACHTREE DUNWOODY RD",
            "address_2": "BUILDING E, SUITE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285909",
            "telephone_number": "404-250-3660",
            "fax_number": "404-250-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "VALISIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "046291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000819959B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.