DOUGLAS JAXON VADNER BS
NPI 1073460747
Student in an Organized Health Care Education/Training Program in Darien, GA

Active since March 12, 2026
614 KELLSIE CIR, DARIEN, GA 31305(706) 974-6003 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas Jaxon Vadner Bs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS JAXON VADNER BS (NPI 1073460747) is an individual student in an organized health care education/training program in Darien, Georgia and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1073460747
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDOUGLAS JAXON VADNERCredential: BS
Location Address614 KELLSIE CIRDarien, GA 31305-9551
Mailing Address3333 Green Bay RdNorth Chicago, IL 60064-3095
Sole ProprietorNo
Enumeration DateMarch 12, 2026
NPPES CertifiedMarch 12, 2026
NPI 1073460747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
614 KELLSIE CIR, Darien, GA 31305

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Vadner's NPI number?

The NPI number for Douglas Vadner is 1073460747. It was assigned to this individual provider in the NPPES registry on March 12, 2026.

Where is Douglas Vadner located?

Douglas Vadner practices at 614 Kellsie Cir, Darien, GA 31305. The listed phone number is (706) 974-6003.

What is Douglas Vadner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Douglas Vadner was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.