ATLANTA VA MEDICAL CENTER NPI 1306874219

NPI Information

  • NPI: 1306874219
  • Provider Name: ATLANTA VA MEDICAL CENTER
  • Classification: Registered Nurse - 163WP2201X
  • Specialization: Ambulatory Care
  • Entity Type: Organization
  • Address: 1670 CLAIRMONT RD
    DECATUR, GA
    ZIP 30033
  • Phone: (404) 321-6111

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NPI Details

ATLANTA VA MEDICAL CENTER is an ambulatory care registered nurse in Decatur, GA. ATLANTA VA MEDICAL CENTER NPI is 1306874219. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1670 CLAIRMONT RD
DECATUR, GA
ZIP 30033-004
Phone: (404) 321-6111
Fax: (404) 329-4632

The provider's authorized official is Melodye Marguerite Jacobs .
The authorized official title is Charge Nurse and has the following contact phone number (404) 321-6111.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP2201XRegistered NurseAmbulatory CareR109830GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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