Vistas Medical Center,pc
NPI 1104064815 · Medical Specialty Clinic/Center · Stone Mountain
Vistas Medical Center,pc is a Medical Specialty Clinic/Center organization in Stone Mountain (NPI 1104064815).
Provider details
- NPI number
- 1104064815
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nicholas Ihenacho, Md/Ceo(404) 296-7695
- License
- GA038149 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
80% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-02-03
- Last updated
- 2011-10-21
Frequently asked questions
- What is Vistas Medical Center,pc's NPI number?
- Vistas Medical Center,pc's National Provider Identifier (NPI) is 1104064815, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vistas Medical Center,pc?
- Vistas Medical Center,pc is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Vistas Medical Center,pc located?
- Vistas Medical Center,pc's practice location on file with NPPES is 5329 Memorial Dr Ste a, Stone Mountain, 30083.
- What is Vistas Medical Center,pc's phone number?
- The practice phone number listed in the NPPES registry for Vistas Medical Center,pc is (404) 296-7695.
- Who is the authorized official for Vistas Medical Center,pc?
- The authorized official listed on Vistas Medical Center,pc's NPPES record is Nicholas Ihenacho, Md/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vistas Medical Center,pc's NPI active?
- Yes — Vistas Medical Center,pc's NPI (1104064815) is active in the NPPES registry as of the last update on 2011-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.