VA MEDICAL CENTER (NPI# 1417985599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417985599 |
Entity Type | Organization |
Organization Name | VA MEDICAL CENTER |
Practice Address |
Va Medical Center Atlanta 1670 Clairmont Rd Decatur GA 30033 |
Practice Telephone | 4043216111 |
Mailing Telephone | 4043216111 |
Enumeration Date | 2006-06-29 |
Last Update Date | 2008-11-04 |
Authorized Official Name | DR. DOUGLAS MOUNTJOY BLACKMON (PHYSICIAN) |
Authorized Official Telephone | 4043216111 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282N00000X | General Acute Care Hospital | 051434 | GA | Hospitals |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245785179 | Va Medical Center | Military Hospital | 5939 Cedros Ave Apt A, Van Nuys, CA 91411-3104 | 2016-08-21 |
1104216332 | Va Medical Center | Military Hospital | 10707 W Interstate 10 Apt 436, San Antonio, TX 78230-1674 | 2015-01-26 |
1295178796 | Va Medical Center | Military Hospital | 16 Charles St, 3rd Floor, Lincoln, RI 02865-1906 | 2013-04-15 |
1487905311 | Va Medical Center | General Acute Care Hospital | 292 Sherwood Dr, Huntington, WV 25704-9460 | 2012-10-02 |
1033479316 | Va Medical Center | Chronic Disease Hospital | 500 Trinity Ln N Apt 5204, St Petersburg, FL 33716-1236 | 2012-05-21 |
1134495682 | Va Medical Center | General Acute Care Hospital | 5015 S Desoto Ct, New Berlin, WI 53151-7664 | 2012-03-29 |
1386952893 | Va Medical Center | General Acute Care Hospital | 6208 Krandon Drive, Raleigh, NC 27603-4928 | 2010-09-17 |
1093049520 | Va Medical Center | Military Hospital | 5416 Orange Valley Dr, Lakeland, FL 33813-2649 | 2009-09-30 |
1275784050 | Va Medical Center | Skilled Nursing Facility | 236 Pochin Pl, Hampton, VA 23661-2902 | 2008-10-10 |
1154587475 | Va Medical Center | General Acute Care Hospital | 4001 24th Ave W, Seattle, WA 98199-1505 | 2008-08-06 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | VA MEDICAL CENTER | 4101 Woolworth Ave, Omaha, NE 68105-1850 |
System for Award Management (SAM) Entities | VA MEDICAL CENTER 581/90C | 1540 Spring Valley Dr, Huntington, WV 25704-9300 |
Street Address |
VA MEDICAL CENTER ATLANTA 1670 CLAIRMONT RD |
City | DECATUR |
State | GA |
Zip Code | 30033 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396772851 | Alexandra Lara Barr Webb | Surgery | Va Medical Center Atlanta, 1670 Clairemont Road (112), Decatur, GA 30033 | 2006-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
Find all providers in zip 30033 |
Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548357973 | Decatur Memorial Hospital | General Acute Care Hospital | 2300 N. Edward St., Decatur, IL 62526 | 2006-10-06 |
1326041229 | St Marys Hospital Sisters of The Third Order of St Francis | General Acute Care Hospital | 1800 E Lake Shore Dr, Decatur, IL 62521 | 2005-05-24 |
1053945766 | Decatur Hospital Authority | General Acute Care Hospital | 609 Medical Center Dr, Decatur, TX 76234-3836 | 2020-03-03 |
1043646136 | Managed Health Care Administration, Inc | General Acute Care Hospital | 1201 7th St Se, Decatur, AL 35601-3337 | 2013-09-20 |
1790119055 | Martine Smith | General Acute Care Hospital | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2013-08-22 |
1356692297 | H H Health System-morgan LLC | General Acute Care Hospital | 1201 7th St Se, Decatur, AL 35601-3337 | 2012-10-01 |
1699039214 | Robert Cook | General Acute Care Hospital | 2300 N Edward St, Decatur, IL 62526-4163 | 2012-06-28 |
1285904276 | Hh Health System - Morgan, Inc. | General Acute Care Hospital | 1874 Beltline Rd Sw, Decatur, AL 35601-5514 | 2012-01-06 |
1407137250 | Georgia Regional Hospital | General Acute Care Hospital | 3073 Panthersville Rd, Decatur, GA 30034-3828 | 2011-09-07 |
1962665927 | Cynthia Marie Edwards | General Acute Care Hospital | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2008-07-09 |
Find all providers in DECATUR |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.