Vivasalud Clinic 1 LLC
NPI 1386361756 · Family Medicine Physician · Snellville, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vivasalud Clinic 1 LLC is a Family Medicine Physician organization in Snellville, GA (NPI 1386361756).
Provider details
- NPI number
- 1386361756
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vanessa Jimenez, Chief Clinical Operations Officer(470) 607-5533
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% 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
- 2022-10-25
- Last updated
- 2026-02-15
- Certified
- 2026-02-15
Frequently asked questions
- What is Vivasalud Clinic 1 LLC's NPI number?
- Vivasalud Clinic 1 LLC's National Provider Identifier (NPI) is 1386361756, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vivasalud Clinic 1 LLC?
- Vivasalud Clinic 1 LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Vivasalud Clinic 1 LLC located?
- Vivasalud Clinic 1 LLC's practice location on file with NPPES is 2336 Wisteria Dr Ste 110, Snellville, GA 30078-6162.
- What is Vivasalud Clinic 1 LLC's phone number?
- The practice phone number listed in the NPPES registry for Vivasalud Clinic 1 LLC is (470) 342-8500.
- Does Vivasalud Clinic 1 LLC accept Medicare?
- Vivasalud Clinic 1 LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Vivasalud Clinic 1 LLC?
- The authorized official listed on Vivasalud Clinic 1 LLC's NPPES record is Vanessa Jimenez, Chief Clinical Operations Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vivasalud Clinic 1 LLC's NPI active?
- Yes — Vivasalud Clinic 1 LLC's NPI (1386361756) is active in the NPPES registry as of the last update on 2026-02-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.