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LILIAN AYIDI VENDE
NPI 1225886609
Nurse Practitioner - Family in Clarkston, GA

Active since May 09, 2024PECOS Enrolled
4600 E PONCE DE LEON AVE STE A, CLARKSTON, GA 30021(678) 705-9685 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lilian Ayidi Vende NPPES

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

LILIAN AYIDI VENDE (NPI 1225886609) is an individual family provider in Clarkston, Georgia, licensed in Georgia (RN274205) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225886609
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLILIAN AYIDI VENDE
Location Address4600 E PONCE DE LEON AVE STE AClarkston, GA 30021-1839
Mailing Address4600 E Ponce De Leon Ave Ste AClarkston, GA 30021-1839 · (678) 705-9685
Phone(678) 705-9685
Sole ProprietorYes
Enumeration DateMay 9, 2024
NPPES CertifiedMay 9, 2024
✔ NPI 1225886609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN274205
4600 E PONCE DE LEON AVE STE A, Clarkston, GA 30021
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lilian Ayidi Vende is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Lilian Vende reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clarkston Primary & Urgent Care, LLC
Same address
Family Medicine
4600 E PONCE DE LEON AVE STE A
Clarkston, GA 30021
  • Reassigned Medicare billing, Georgia enrollment
  • 3 clinicians in this Medicare group
NPI 1043781420 (770) 703-5408
Signify Health Medical Associates, PLLC
732 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Georgia enrollment
  • 488 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLARKSTON PRIMARY & URGENT CARE, LLC
Family Medicine
4600 E PONCE DE LEON AVE STE A
CLARKSTON, GA 30021
Dekalb County (770) 703-5408
BLISS PRIMARY AND URGENT CARE PC
Nurse Practitioner (Family)
4600 E PONCE DE LEON AVE STE A
CLARKSTON, GA 30021
Dekalb County (404) 808-2125
FARIBA SOHRABI DNP
Nurse Practitioner (Family)
4600 E PONCE DE LEON AVE STE A
CLARKSTON, GA 30021
Dekalb County (801) 200-2872

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 Lilian Vende's NPI number?

The NPI number for Lilian Vende is 1225886609. It was assigned to this individual provider in the NPPES registry on May 9, 2024.

Where is Lilian Vende located?

Lilian Vende practices at 4600 E Ponce De Leon Ave Ste A, Clarkston, GA 30021. The listed phone number is (678) 705-9685.

What is Lilian Vende's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lilian Vende enrolled in Medicare?

Yes. Lilian Vende is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lilian Vende's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lilian Vende reassigns Medicare benefits to 2 organizations: Clarkston Primary & Urgent Care, LLC (Clarkston, GA) and Signify Health Medical Associates, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lilian Vende's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lilian Vende accept?

Health plans from CareSource (Common Ground Healthcare) and Oscar Health list Lilian Vende as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lilian Vende was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.