Velocity DX LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

VELOCITY DX LLC

Practice address

304 Janet St Ste H
Valdosta, GA 31602-2643

Phone

(229) 474-6674

NPI assigned

Jul 11, 2024

Last updated

Jul 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sharyshma Deshun Anderson, RNNPI 1033956511

Title

Owner/Operator

Phone

(229) 531-1035

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sharyshma Deshun Anderson, RN

  • Infusion Therapy Registered Nurse
  • Valdosta, GA
  • NPI 1033956511
  NPD Authorized official

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1972340453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 JANET ST STE H",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022643",
            "telephone_number": "229-474-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 JANET ST STE H",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022643",
            "telephone_number": "229-474-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VELOCITY DX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SHARYSHMA",
        "authorized_official_middle_name": "DESHUN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "229-531-1035",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alan Vega
• Mikeya Vega, LCSW
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• Lynze D. Vickers, LMFT
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• Health Service Clinic/Center in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Health Service Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.