NPIMap

Organization Active NPI

Vitl Hearts HTC

  • Point of Service
  • Griffin, GA
National Provider Identifier
1992120737
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
9363 Issued in GA
Legal business name
VITL HEARTS HTC
Practice address
122 S 13TH St
Griffin, GA 30223-2745
Phone
(404) 932-1667
Fax
(470) 204-7303
NPI assigned
Mar 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
Priscilla Robinson, VICE PRESIDENT
Title
Administor
Phone
(404) 932-1667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 9363 GA Primary

Addresses

Primary practice location

122 S 13TH St
Griffin, GA 30223-2745

Mailing address

122 S 13TH St
Griffin, GA 30223-2745
Phone (404) 932-1667

National Provider Directory

National Provider Directory
Tax ID family
Vital Hearts HTC LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

122 S 13th St
Griffin, GA 30223
Phone (678) 603-1484

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1992120737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S 13TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302232745",
            "telephone_number": "404-932-1667",
            "fax_number": "470-204-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S 13TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302232745",
            "telephone_number": "404-932-1667",
            "fax_number": "470-204-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITL HEARTS HTC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "ADMINISTOR",
        "authorized_official_telephone_number": "404-932-1667",
        "authorized_official_credential": "VICE PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "GA",
            "license": "9363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.