Organization Active NPI

Vital Health Associates of Georgia LLC

  • Family Medicine Physician
  • Kingsland, GA
National Provider Identifier
1982561114
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VITAL HEALTH ASSOCIATES OF GEORGIA LLC
Practice address
130 N Gross Rd Ste 201
Kingsland, GA 31548-6277
Phone
(912) 729-2795
Fax
(912) 729-4117
NPI assigned
Jan 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Andrew Christman
Title
Ceo
Phone
(904) 282-6331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

130 N Gross Rd Ste 201
Kingsland, GA 31548-6277

Mailing address

330 Corporate Way Ste 200
Orange Park, FL 32073-6214
Phone (904) 282-6331

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1767830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1982561114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 CORPORATE WAY STE 200",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320736214",
            "telephone_number": "904-282-6331",
            "fax_number": "904-866-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N GROSS RD STE 201",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486277",
            "telephone_number": "912-729-2795",
            "fax_number": "912-729-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL HEALTH ASSOCIATES OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "CHRISTMAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-282-6331"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsland, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.