Vitality Health and Glow Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

VITALITY HEALTH AND GLOW CLINIC

Practice address

44 Darbys Crossing Dr Ste 110a
Hiram, GA 30141-6048

Phone

(770) 575-0022

NPI assigned

Feb 5, 2025

Organization subpart

No

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

Authorized official

Name

Crystal Bailey, NPNPI 1225635212

Title

Ceo

Phone

(404) 682-8567

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Crystal Keyonnica Bailey, APRN-NP

  • Family Nurse Practitioner
  • Hiram, GA
  • NPI 1225635212
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1902610447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 DARBYS CROSSING DR STE 110A",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301416048",
            "telephone_number": "770-575-0022",
            "fax_number": "770-492-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 DARBYS CROSSING DR STE 110A",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301416048",
            "telephone_number": "770-575-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY HEALTH AND GLOW CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-682-8567",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherene Theresa Vazhappilly
• Laura Verigan, MD
• Alethea Vessel-McGee, M.ED,CCC-SLP
• Ange Nilsa Fontaine Victor, REGISTERED NURSE
• Marie Guilda Vilmont-Rhea, APRN
• Vodas Chiropractic CL PC
• Phillip G Vodas, D.C.
• Therese Quynh Vu, DMD
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP.

• Primary Care Clinic/Center in Hiram, GA
• Providers in Hiram, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.