VITALIS BEHAVIORAL HEALTH
NPI 1285271528
Clinic/Center - Multi-Specialty in Fort Oglethorpe, GA

Active since December 05, 2019CLIA 11D2319927 · Waiver
1638 BATTLEFIELD PKWY, FORT OGLETHORPE, GA 30742(706) 841-0500(706) 841-0502 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 21, 2020, Dec 5, 2019 (2 updates tracked since 2019).

About Vitalis Behavioral Health NPPES

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

VITALIS BEHAVIORAL HEALTH (NPI 1285271528) is a healthcare organization registered as a multi-specialty in Fort Oglethorpe, Georgia and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through March 9, 2027, maintains a secondary practice location in Hixson, and lists Denise Goodwin, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1285271528
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameVITALIS BEHAVIORAL HEALTH
Location Address1638 BATTLEFIELD PKWYFort Oglethorpe, GA 30742-4016
Mailing Address1638 Battlefield PkwyFort Oglethorpe, GA 30742-4016 · (706) 841-0500 · Fax (706) 841-0502
Fax(706) 841-0502
Organization SubpartNo
Authorized OfficialDenise GoodwinClinical Director · (706) 841-0500
Enumeration DateDecember 5, 2019
Last NPPES UpdateJuly 31, 20252 updates tracked since enumeration
NPPES CertifiedJuly 31, 2025
✔ NPI 1285271528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1638 BATTLEFIELD PKWY, Fort Oglethorpe, GA 30742

Secondary Practice Location 1

Location 11008 Executive Dr Ste 101Hixson, TN 37343-3992 · Phone (706) 841-0500 · Fax (706) 841-0502

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vitalis Behavioral Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Vitalis Behavioral Health, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner6
Clinical Psychologist1
Clinical Social Worker1
Marriage and Family Therapist1
Psychiatry1

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1235968421
1638 BATTLEFIELD PKWY
Fort Oglethorpe, GA 30742
(706) 841-0500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1316735491
1638 BATTLEFIELD PKWY
Ft Oglethorpe, GA 30742
(706) 841-0500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1184432775
1638 BATTLEFIELD PKWY
Fort Oglethorpe, GA 30742
(706) 841-0500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1346941358
1638 BATTLEFIELD PKWY
Fort Oglethorpe, GA 30742
(706) 841-0500
✔ PECOSSame address
Nurse Practitioner
NPI 1407377831
1638 BATTLEFIELD PKWY
Fort Oglethorpe, GA 30742
(706) 841-0500
✔ PECOS✔ Accepts MedicareSame address
Marriage and Family Therapist
NPI 1891497053
1638 BATTLEFIELD PKWY
Fort Oglethorpe, GA 30742
(706) 841-0500
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1851811780
3091 BATTLEFIELD PKWY
Fort Oglethorpe, GA 30742
(706) 841-0500
✔ PECOS0.9 mi
Nurse Practitioner
NPI 1730059312
2989 HAPPY VALLEY RD
Rossville, GA 30741
(865) 317-4303
✔ PECOS✔ Accepts Medicare4.4 mi
Clinical Psychologist
NPI 1720038870
475 REED RD STE 104
Dalton, GA 30720
(706) 529-8710
✔ PECOS✔ Accepts Medicare18 mi
Psychiatry
NPI 1336775204
815 N COLLEGE RD
Twin Falls, ID 83301
(208) 814-9100
✔ PECOS✔ Accepts Medicare1,654 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2319927

Vitalis Behavioral Health · Fort Oglethorpe, GA
Active · expires Mar 9, 2027
CLIA Number11D2319927
Laboratory TypePhysician Office
Certificate Effective DateMarch 10, 2025
Certificate Expiration DateMarch 9, 2027
Laboratory DirectorDenise Goodwin
Laboratory Phone(706) 841-0500
Laboratory LocationVitalis Behavioral Health1638 Battelfield Pkwy, Fort Oglethorpe, GA 30742
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Vitalis Behavioral Health's NPI number?

The NPI number for Vitalis Behavioral Health is 1285271528. It was assigned to this organization in the NPPES registry on December 5, 2019.

Where is Vitalis Behavioral Health located?

Vitalis Behavioral Health is located at 1638 Battlefield Pkwy, Fort Oglethorpe, GA 30742. The listed phone number is (706) 841-0500.

What is Vitalis Behavioral Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Vitalis Behavioral Health enrolled in Medicare?

Yes. Vitalis Behavioral Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vitalis Behavioral Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 5 Medicare specialties reassign their Medicare billing to Vitalis Behavioral Health. A 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 the clinician's services. The largest specialties are Nurse Practitioner (6), Clinical Psychologist (1) and Clinical Social Worker (1). Of these, 6 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Vitalis Behavioral Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2319927) is associated with this NPI, valid through March 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vitalis Behavioral Health accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Vitalis Behavioral Health 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 Vitalis Behavioral Health was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.