VITA LIFE MEDICAL LLC


Address: 2870 Peachtree Rd Ne, Ste 431, Atlanta, GA 30305
Phone: 6783876498

VITA LIFE MEDICAL LLC (NPI# 1659409860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659409860
Entity Type Organization
Organization Name VITA LIFE MEDICAL LLC
Practice Address 2870 Peachtree Rd Ne
Ste 431
Atlanta
GA 30305
Practice Telephone 6783876498
Mailing Telephone 6783876498
Enumeration Date 2007-03-01
Last Update Date 2020-08-22
Authorized Official Name GREGORY LUKE SMITH (MEDICAL DIRECTOR)
Authorized Official Telephone 6783876498
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
031857 GA Allopathic & Osteopathic Physicians

Office Location

Street Address 2870 PEACHTREE RD NE
STE 431
City ATLANTA
State GA
Zip Code 30305

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659981322 Gerald E Roettger Physical Therapist 2955 Peachtree Road Nw, Suite A1, Atlanta, GA 30305 2020-08-06
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1508373689 Kathryn Gohde Counselor 3525 Piedmont Rd Nw, Bldg 7 Suite 408, Atlanta, GA 30305 2018-01-10
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1821440587 Monica Martinez Dicristina Counselor 3525 Piedmont Road, Building 7, Suite 408, Atlanta, GA 30305 2016-07-06
1164879532 Brittany Nicole Albritton Physical Therapist 3169 Maple Drive Ne, Atlanta, GA 30305 2016-05-16
1588039275 Alaina Blevins Physician Assistant 240 Pharr Rd Ne, Atlanta, GA 30305 2015-12-07
1558750141 A2h2 Clinic/Center 2909 Peachtree Rd; Nw;, Atlanta, GA 30305 2015-01-20
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Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development.

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NPI Name Taxonomy Address Enumeration
1760900708 Neuro Diagnostic Group LLC Physical Medicine & Rehabilitation 200 Galleria Pkwy Se Ste 100, Atlanta, GA 30339-5944 2017-08-30
1073812335 Mikhail Zhukalin Physical Medicine & Rehabilitation 1648 Pierce Dr. Ne, Atlanta, GA 30307 2011-03-24
1669690723 Injury Centers of Atlanta L.l.c Physical Medicine & Rehabilitation 4186 Buford Hwy Ne Ste F, Atlanta, GA 30345-1067 2007-04-23
1821113556 Med Health Services LLC Physical Medicine & Rehabilitation 4780 Ashford Dunwoody Road, Ste A418, Atlanta, GA 30338-5504 2007-03-20
1891796595 Shane C Mangrum Physical Medicine & Rehabilitation 1150 Hammond Dr, Suite 400, Atlanta, GA 30328-5334 2005-08-03
1518568591 Atlanta Spine, PC Physical Medicine & Rehabilitation 755 Mount Vernon Hwy Ne Ste 305, Atlanta, GA 30328-4290 2020-11-05
1629688114 Prm of Georgia PC Physical Medicine & Rehabilitation 371 E Paces Ferry Rd Ne Ste 730, Atlanta, GA 30305-2372 2020-08-09
1316507775 Atlanta Spine, PC Physical Medicine & Rehabilitation 60 Peachtree Park Dr Ne Ste 200, Atlanta, GA 30309-1304 2019-06-18
1295197036 Chelsea Denise Frost Physical Medicine & Rehabilitation 59 Executive Park South Ne, Atlanta, GA 30329-2208 2016-03-22
1063766160 Thomas H Xu Physical Medicine & Rehabilitation 2001 Peachtree Rd Ne Ste 550, Atlanta, GA 30309-1416 2012-10-29
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Competitor

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City ATLANTA
Zip Code 30305

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Dataset Information

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.

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