VITAMEDX
NPI 1467183996
Clinic/Center - Multi-Specialty in Stone Mountain, GA
About Vitamedx NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITAMEDX (NPI 1467183996) is a healthcare organization registered as a multi-specialty in Stone Mountain, Georgia and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through December 7, 2027 and lists Andrea Caeser, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vitamedx is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Vitamedx, 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 (3)
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 11D2245022
Vitainfuse Therapy · Stone Mountain, GAFrequently 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 Vitainfuse Therapy LLC's NPI number?
The NPI number for Vitainfuse Therapy LLC is 1467183996. It was assigned to this organization in the NPPES registry on June 24, 2022. The provider is doing business as Vitamedx.
Where is Vitainfuse Therapy LLC located?
Vitainfuse Therapy LLC is located at 6254 Memorial Dr Ste F, Stone Mountain, GA 30083. The listed phone number is (770) 558-1029.
What is Vitainfuse Therapy LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Vitainfuse Therapy LLC enrolled in Medicare?
Yes. Vitainfuse Therapy LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vitainfuse Therapy LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Vitainfuse Therapy LLC, in General Practice, Internal Medicine and Nurse Practitioner. 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.
Does Vitainfuse Therapy LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2245022) is associated with this NPI, valid through December 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Vitainfuse Therapy LLC was last updated on October 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Vitamedx · NPI 1467183996
Multi-Specialty organization in Stone Mountain, Georgia. Organization record, active in the CMS NPPES registry since June 24, 2022.
## Identity
- **NPI:** 1467183996 (Entity type: Organization)
- **Enumerated:** June 24, 2022
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Vitainfuse Therapy Llc
- **Organization subpart:** No
- **Authorized official:** Andrea Caeser, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 6254 MEMORIAL DR STE F, Stone Mountain, GA 30083-2884
- **Phone:** (770) 558-1029
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Practice (1), Internal Medicine (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 2, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1467183996) · Data from the CMS NPPES public registry.