VITAMEDX
NPI 1467183996
Clinic/Center - Multi-Specialty in Stone Mountain, GA

Active since June 24, 2022CLIA 11D2245022 · Waiver
6254 MEMORIAL DR STE F, STONE MOUNTAIN, GA 30083(770) 558-1029 Get Directions Write a Review

NPPES record last updated: October 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1467183996
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameVITAINFUSE THERAPY LLC
Location Address6254 MEMORIAL DR STE FStone Mountain, GA 30083-2884
Mailing Address6254 Memorial Dr Ste FStone Mountain, GA 30083-2884 · (770) 558-1029
Organization SubpartNo
Authorized OfficialAndrea CaeserChief Executive Officer · (678) 488-3902
Enumeration DateJune 24, 2022
Last NPPES UpdateOctober 2, 2022
NPPES CertifiedOctober 2, 2022
NPI 1467183996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
6254 MEMORIAL DR STE F, Stone Mountain, GA 30083

Other Names 1

Doing Business AsVitamedx

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, GA
Active · expires Dec 7, 2027
CLIA Number11D2245022
Laboratory TypePractitioner Other
Certificate Effective DateDecember 8, 2025
Certificate Expiration DateDecember 7, 2027
Laboratory DirectorAndrea F. Caesar
Laboratory Phone(770) 558-1029
Laboratory LocationVitainfuse Therapy6254 Memorial Drive, Suite F, Stone Mountain, GA 30083
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Chiropractor
6254 MEMORIAL DR STE F
STONE MOUNTAIN, GA 30083
Chiropractor
6254 MEMORIAL DR STE F
STONE MOUNTAIN, GA 30083
Nurse Practitioner
6254 MEMORIAL DR STE F
STONE MOUNTAIN, GA 30083

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 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.

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 3 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.