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NPI · 1104064815 · NPPES-sourced

Vistas Medical Center, PC

ActiveMedical Specialty Clinic/Center
NPI Number
1104064815
Type 2 · Organisation
Taxonomy Code
261QM2500X
Contact
(404) 296-7695
License GA · GA038149
Last Updated
Enumerated
Primary practice addressGEORGIA · 30083
5329 Memorial Dr Ste AStone Mountain, GEORGIA 30083
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About this NPIWhat this record shows.

NPI 1104064815 is registered to Vistas Medical Center, PC, a healthcare organisation classified as "Medical Specialty Clinic/Center" and located at 5329 Memorial Dr Ste A in Stone Mountain, GEORGIA. The organisation's authorised official is Nicholas Ihenacho. The organisation has been enumerated in the NPI registry since 2009.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Other

  • 321313GA· Issued by WELLCARE

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Vistas Medical Center, PC accepts. To confirm in-network status with your specific health plan, contact Vistas Medical Center, PC directly at (404) 296-7695.

Frequently asked

Yes. NPI 1104064815 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Medical Specialty Clinic/Center is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (404) 296-7695.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Vistas Medical Center, PC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy261QM2500X
Last updated
Enumerated
StatusActive
Partneri
partner offer
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