Via Cognitive Health, Inc.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

121R0030 Issued in GA

Legal business name

VIA COGNITIVE HEALTH, INC.

Practice address

1901 Central Ave
Augusta, GA 30904

Phone

(706) 738-5039

Fax

(706) 364-1288

NPI assigned

Aug 31, 2016

Organization subpart

No

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

Authorized official

Name

Jennifer Pennington

Title

Executive Director

Phone

(706) 738-5039

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1972059780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 CENTRAL AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044125",
            "telephone_number": "906-738-5039",
            "fax_number": "706-364-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 CENTRAL AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30904",
            "telephone_number": "706-738-5039",
            "fax_number": "706-364-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIA COGNITIVE HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "706-738-5039"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "GA",
            "license": "121R0030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Vender, MD
• Laurie Blanchard Vera, MHS, OTR/L
• Krista Lee Vernon, ARNP
• Michael O. Vernon, D.M.D.
• Veterans Affairs
• Jessica Vick
• William Vicory
• Charles Videna, CRNA
• Christina Hall Videon, LPC
• Amy Elizabeth Vincent, M.A., CCC-SLP

• Exclusive Provider Organization in Augusta, GA
• Providers in Augusta, GA by specialty
• Exclusive Provider Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.