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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
031857 | GA | Allopathic & Osteopathic Physicians |
Street Address |
2870 PEACHTREE RD NE STE 431 |
City | ATLANTA |
State | GA |
Zip Code | 30305 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659981322 | Gerald E Roettger | Physical Therapist | 2955 Peachtree Road Nw, Suite A1, Atlanta, GA 30305 | 2020-08-06 |
1689202681 | Pt Hills Place Terraces LLC | Assisted Living Facility | 229 Peachtree Hills Place, Atlanta, GA 30305 | 2020-03-27 |
1043704299 | Alyssa Elrod Utz | Pharmacist | 3495 Piedmont Road, First Floor, Suite 110, Atlanta, GA 30305 | 2018-06-20 |
1508373689 | Kathryn Gohde | Counselor | 3525 Piedmont Rd Nw, Bldg 7 Suite 408, Atlanta, GA 30305 | 2018-01-10 |
1386195154 | Ryan Gabriel Wilkins | Physical Therapist | 550 Pharr Rd Ne Ste 550, Atlanta, GA 30305 | 2016-10-17 |
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 |
1144619016 | We Up Home Health Services LLC | Clinic/Center | 2909 Peachtree Rd; Nw, Atlanta, GA 30305 | 2015-01-15 |
Find all providers in zip 30305 |
Taxonomy Code | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
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. |
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 |
Find all providers in ATLANTA |
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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.