IndividualActive
Joffy Vadakkedam
NPI 1629692165 · Licensed Practical Nurse · Lawrenceville, GA
Joffy Vadakkedam is a Licensed Practical Nurse provider in Lawrenceville, GA (NPI 1629692165).
Provider details
- NPI number
- 1629692165
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 090341 (GA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
175 Gwinnett Dr
Lawrenceville, GA 30046-8444
Phone: (678) 209-2394
Approximate (ZIP-level) locationGet directions
Mailing address
1990 Tribble Walk Dr
Lawrenceville, GA 30045-3483
Registry dates
- Enumerated
- 2020-06-01
- Last updated
- 2020-06-01
- Certified
- 2020-06-01
Frequently asked questions
- What is Joffy Vadakkedam's NPI number?
- Joffy Vadakkedam's National Provider Identifier (NPI) is 1629692165, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Joffy Vadakkedam's specialty?
- Joffy Vadakkedam is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Joffy Vadakkedam located?
- Joffy Vadakkedam's practice location on file with NPPES is 175 Gwinnett Dr, Lawrenceville, GA 30046-8444.
- What is Joffy Vadakkedam's phone number?
- The practice phone number listed in the NPPES registry for Joffy Vadakkedam is (678) 209-2394.
- Is Joffy Vadakkedam's NPI active?
- Yes — Joffy Vadakkedam's NPI (1629692165) is active in the NPPES registry as of the last update on 2020-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.