Andrea S. Videlefsky, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

044135 Issued in GA

Practice address

2520 Windy Hill Rd SE
Suite 301
Marietta, GA 30067-8664

Phone

(770) 952-1032

Fax

(770) 952-8579

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urban Family Practice Associates, P.C.Group PAC ID 4486645108, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Urban Family Practice Associates, P.C.

  • Family Medicine Physician
  • Marietta, GA
  • NPI 1649303975
  Medicare reassignment Care Compare group NPD
• Urban Family Practice

  • Marriage & Family Therapist
  • Marietta, GA
  • NPI 1215092366
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942334255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 WINDY HILL RD SE",
            "address_2": "SUITE 301",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678664",
            "telephone_number": "770-952-1032",
            "fax_number": "770-952-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 WINDY HILL RD SE",
            "address_2": "SUITE 301",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678664",
            "telephone_number": "770-952-1032",
            "fax_number": "770-952-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDELEFSKY",
        "first_name": "ANDREA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "044135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00957965A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irene Cristina Verlezza, DPM
• Priya S. Verma, PA
• Denise Walz Vermilya, OTR/L
• VHBD LLC (Marietta Dental Professionals)
• Brianna Victor, RBT
• Sara Cassella Videtto, MS, MA, CCC-SLP
• David Macy Vidrine, M.D.
• Cory Viehl, PHD
• Matthew Vieron
• Hayley Vietti, DO

• Family Medicine Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.