OrganizationActive
Atl Va Medical Center
NPI 1922119163 · Primary Care Clinic/Center · Decatur, GA
Provider details
- NPI number
- 1922119163
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Anna Johnson, Nurse Manager(404) 321-6111
- License
- RN099782 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1670 Clairmont Rd
Decatur, GA 30033-4004
Phone: (404) 321-6111
Street-level locationGet directions
Mailing address
4657 Bexley Dr
Stone Mountain, GA 30083-5560
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.