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VIVASALUD CLINIC 1 LLC
NPI 1386361756
Family Medicine in Snellville, GA

Active since October 25, 2022
2336 WISTERIA DR STE 110, SNELLVILLE, GA 30078(470) 342-8500 Get Directions Write a Review

NPPES record last updated: February 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 13, 2023, Nov 24, 2022, Oct 25, 2022 (3 updates tracked since 2022).

About Vivasalud Clinic 1 Llc NPPES

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

VIVASALUD CLINIC 1 LLC (NPI 1386361756) is a healthcare organization registered as a family medicine in Snellville, Georgia and active in the NPI registry since October 2022. The organization lists Vanessa Jimenez, Chief Clinical Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1386361756
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVIVASALUD CLINIC 1 LLC
Location Address2336 WISTERIA DR STE 110Snellville, GA 30078-6162
Mailing Address2336 Wisteria Dr Ste 110Snellville, GA 30078-6162 · (470) 481-7803 · Fax (833) 941-5113
Phone(470) 342-8500
Organization SubpartNo
Authorized OfficialVanessa JimenezChief Clinical Operations Officer · (470) 607-5533
Enumeration DateOctober 25, 2022
Last NPPES UpdateFebruary 15, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2026
✔ NPI 1386361756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2336 WISTERIA DR STE 110, Snellville, GA 30078
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Other Identifiers 1

Medicaid003284553AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vivasalud Clinic 1 Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Vivasalud Clinic 1 LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Vanessa Jimenez, NP
Nurse Practitioner
NPI 1760084206
2336 WISTERIA DR STE 110
Snellville, GA 30078
(470) 481-7803
✔ PECOS✔ Accepts MedicareSame address
Yelenny Argueta
Nurse Practitioner
NPI 1861239287
2765 MILTON BRYAN DR
Loganville, GA 30052
(678) 650-7959
✔ PECOS8.3 mi

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

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 Vivasalud Clinic 1 LLC's NPI number?

The NPI number for Vivasalud Clinic 1 LLC is 1386361756. It was assigned to this organization in the NPPES registry on October 25, 2022.

Where is Vivasalud Clinic 1 LLC located?

Vivasalud Clinic 1 LLC is located at 2336 Wisteria Dr Ste 110, Snellville, GA 30078. The listed phone number is (470) 342-8500.

What is Vivasalud Clinic 1 LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Vivasalud Clinic 1 LLC enrolled in Medicare?

Yes. Vivasalud Clinic 1 LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vivasalud Clinic 1 LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Vivasalud Clinic 1 LLC. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vivasalud Clinic 1 LLC was last updated on February 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.