Organization Active NPI

Vital Living Healthcare Services, LLC

  • Adult Medicine Physician
  • Atlanta, GA
National Provider Identifier
1972021301
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
049762 Issued in GA
Legal business name
VITAL LIVING HEALTHCARE SERVICES, LLC
Practice address
6115 Peachtree Dunwoody Rd Ste 200
Atlanta, GA 30328-5684
Phone
(404) 843-3636
Fax
(404) 891-7164
NPI assigned
Sep 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Authorized official

Name
Dr. Paul E. Cox, MDNPI 1841291895
Title
Owner
Phone
(404) 843-3636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X 049762 GA Primary

Addresses

Primary practice location

6115 Peachtree Dunwoody Rd Ste 200
Atlanta, GA 30328-5684

Mailing address

6115 Peachtree Dunwoody Rd Ste 200
Atlanta, GA 30328-5684
Phone (404) 843-3636

Other names 1

  • DOCPECOX, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190128001863 GA Part B Supplier - Clinic/Group Practice 1557608635 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1972021301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 PEACHTREE DUNWOODY RD STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285684",
            "telephone_number": "404-843-3636",
            "fax_number": "404-891-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 PEACHTREE DUNWOODY RD STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285684",
            "telephone_number": "404-843-3636",
            "fax_number": "404-891-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL LIVING HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-843-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "GA",
            "license": "049762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOCPECOX, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.